| James R Davis Md Llc | |
|
2700 Vissing Park Rd Jeffersonville IN 47130-5989 | |
| (270) 202-2598 | |
| (270) 622-2606 |
| Full Name | James R Davis Md Llc |
|---|---|
| Speciality | Specialist |
| Location | 2700 Vissing Park Rd, Jeffersonville, Indiana |
| Authorized Official Name and Position | James Robbins Davis (CEO) |
| Authorized Official Contact | 2702022598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Davis Md Llc Po Box 213 Alvaton KY 42122-0213 Ph: (270) 202-2598 | James R Davis Md Llc 2700 Vissing Park Rd Jeffersonville IN 47130-5989 Ph: (270) 202-2598 |
| NPI Number | 1972788784 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972788784 | NPI | - | NPPES |
| 100360240 | Medicaid | IN | |
| 64343981 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 33498 (Kentucky) | Secondary |
| 174400000X | Specialist | 01024043A (Indiana) | Primary |
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