Dr. Rene Davila MD
Gastroenterology Physician in Jackson, MS(View on Map)
Full Name
Dr. Rene Davila MD
NPI Number
1831155308
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/25/2006
Specialties
(Taxonomies)Code
207RG0100X
207RI0008X
207R00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Mississippi
Tennessee
License Number
20542
31854
Contact
Information
Purpose
Mailing
Location
Address
P.O. BOX 24146
2500 NORTH STATE STREET
City
Jackson
Jackson
State
MS
MS
Postal Code
39225-4146
39216-4505
Country
US
US
Telephone Number
(601) 984-4540
(601) 984-4540
Identifiers
Identifier
00121826
3845260
Identifier State
MS
TN
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/03/2012
Provider Address
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Ismail Ganim MD
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Sarah Glover DO
Jackson, MSSpecialties: Gastroenterology Physician (Primary)Internal Medicine Physician