Dr Johnathan Nathanael Davis, MD | |
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
(228) 809-5000 | |
Not Available |
Full Name | Dr Johnathan Nathanael Davis |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2809 Denny Ave, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235691312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 28220 (Mississippi) | Primary |
Entity Name | Emergency Room Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093112039 PECOS PAC ID: 6608190798 Enrollment ID: O20150120002157 |
Mailing Address | Practice Location Address |
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Dr Johnathan Nathanael Davis, MD 14211 Longwood Cir, Diberville, MS 39540-7827 Ph: (228) 627-9777 | Dr Johnathan Nathanael Davis, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5000 |
Dr. Michael Seymour, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Haley Howell Goodman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Lawrence A. Leake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. John Pavlov, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Charles Mcraney, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Melissa W Costello, M.D., FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 |