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1902898992
JERRY ELDON DAVIS
SHREVEPORT, LA
NPI
1902898992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 12082R)
Enumeration Date
2005-08-17
Last Update Date
2020-03-20
Business Address
JERRY ELDON DAVIS MD
8001 YOUREE DR
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3500
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Mailing Address
JERRY ELDON DAVIS MD
PO BOX 32600
SHREVEPORT, LA 71130-2600
Phone number: 318-212-4877
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