Provider Demographics
NPI:1306850359
Name:DAVIS, MARGARET MILLER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MILLER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 24146
Mailing Address - Street 2:UNIVERSITY PHYSICIANS, PLLC
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39225-4146
Mailing Address - Country:US
Mailing Address - Phone:601-984-6426
Mailing Address - Fax:601-984-6446
Practice Address - Street 1:2500 NORTH STATE STREET
Practice Address - Street 2:DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-6850
Practice Address - Fax:601-984-6853
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-02-25
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Provider Licenses
StateLicense IDTaxonomies
MS13196207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSRR 110127662OtherRAILROAD
MS0113679Medicaid
MS0113679Medicaid
MS110000659Medicare ID - Type Unspecified