| De' Andra Destheenia Davis, MD | |
|
504 Hopkinsville St, Greenville, KY 42345-1104 | |
| (270) 338-6488 | |
| (270) 338-7868 |
| Full Name | De' Andra Destheenia Davis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 504 Hopkinsville St, Greenville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225307184 | NPI | - | NPPES |
| 7100444110 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD.205560 (Louisiana) | Secondary |
| 208000000X | Pediatrics | 49716 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| De' Andra Destheenia Davis, MD 480 Hopkinsville St, Greenville, KY 42345-1124 Ph: (270) 338-5777 | De' Andra Destheenia Davis, MD 504 Hopkinsville St, Greenville, KY 42345-1104 Ph: (270) 338-6488 |
Susan C Hawkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868 | |
Billie Jean Galyen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868 |