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A.c. Davis M.d. A Professional Corporation
Addiction Medicine (Internal Medicine) Physician in Mandeville, Louisiana
NPI 1174926315

A.c. Davis M.d. A Professional Corporation is an Addiction Medicine (Internal Medicine) Physician based in Mandeville, LA and is specialized in Addiction Medicine. A.c. Davis M.d. A Professional Corporation practices in Mandeville, LA. The NPI Number for A.c. Davis M.d. A Professional Corporation is 1174926315 and holds a License No. 013663 (Louisiana).

The current practice location address for A.c. Davis M.d. A Professional Corporation is 69164 Highway 59, Mandeville, LA and can be reached out via phone at 985-951-7882 and via fax at 985-327-7873. You can also correspond with A.c. Davis M.d. A Professional Corporation through the mailing address at PO BOX 386, MANDEVILLE, LA - 70470-0386 (mailing address contact number: 985-951-7882).

Location: 69164 Highway 59, Mandeville, LA, 70470-0386
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Provider Profile Details
NPI Number
1174926315
Provider Name
A.c. Davis M.d. A Professional Corporation
Credential
Provider Entity Type
Organization
Address
69164 Highway 59, Mandeville, LA, 70470-0386
Phone Number
985-951-7882
Fax Number
985-327-7873
Provider Enumeration Date
10/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1185116 05 LA
institution
Provider Business Practice Location Address Details
Address
69164 Highway 59
City
State
Zip
70471-7782
Phone Number
985-951-7882
Fax Number
985-327-7873
person
Provider Business Mailing Address Details
Address
Po Box 386
City
State
Zip
70470-0386
Phone Number
985-951-7882
Fax Number
985-327-7873
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
013663 (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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