Ked L Davis Md Pllc Pa | |
1701 E North St Magnolia AR 71753-3204 | |
(870) 234-3802 | |
(870) 234-7386 |
Full Name | Ked L Davis Md Pllc Pa |
---|---|
Speciality | Family Medicine |
Location | 1701 E North St, Magnolia, Arkansas |
Authorized Official Name and Position | Ashley Campbell (OFFICE MANAGER) |
Authorized Official Contact | 8702343802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ked L Davis Md Pllc Pa 1701 E North St Magnolia AR 71753-3204 Ph: (870) 234-3802 | Ked L Davis Md Pllc Pa 1701 E North St Magnolia AR 71753-3204 Ph: (870) 234-3802 |
NPI Number | 1316101058 |
---|---|
Provider Enumeration Date | 07/11/2008 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 9436217973 |
---|---|
Medicare Enrollment ID | O20081028000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316101058 | NPI | - | NPPES |
167832001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AR-E-5314 (Arkansas) | Primary |
Provider Name | Ked L Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699981894 PECOS PAC ID: 6709961410 Enrollment ID: I20080305000359 |
Fred Y Murphy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753 Phone: 870-234-7101 Fax: 870-234-7717 | |
Southern Arkansas University Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E University, Suite 215, Magnolia, AR 71753 Phone: 870-235-5237 Fax: 870-235-5263 | |
Magnolia Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Columbia, Magnolia, AR 71753 Phone: 870-235-3550 | |
Southern Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 E Stadium, Magnolia, AR 71753 Phone: 870-234-5995 Fax: 870-234-0278 | |
Magnolia Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Hospital Dr, Magnolia, AR 71753 Phone: 870-235-3000 | |
James W Chambliss Md Pllc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 E North St, Magnolia, AR 71753 Phone: 870-234-3802 Fax: 870-234-7386 | |
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