Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIE DAVIS JR., RKT
Active Sole ProprietorMR. WILLIE DAVIS JR., RKT is a Behavioral Health, Residential healthcare provider located in HATTIESBIURG, Mississippi. NPI 1558778936 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · HATTIESBIURG, MS
Registration Details
- NPI Number
- 1558778936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2014 (12.107095303988 yrs)
- Last Updated
- Jul 17, 2014
- License
-
1907 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 DUKE AVE.HATTIESBIURG, MS, 39401Browse MS providers · Browse ZIP 39401
- Phone
- 6015501164
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.