SAM DAVIS HUDNALL

MERIDIAN, MS
NPI1629620737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6024)
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
SAM DAVIS HUDNALL PTA
4908 GREAT RIVER DR
MERIDIAN, MS 39305-2663
Phone number: 601-453-3632
Mailing Address
SAM DAVIS HUDNALL PTA
199 N BROOKMOORE DR
COLUMBUS, MS 39705-2024
Phone number: 662-327-6705