| Doctor Name: | DOUGLAS W DAVIDSON |
| NPI Number: | 1982790697 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 010156 |
| Business Practice Address: | 12525 Perkins Road Suite B Baton Rouge, LA - 70810 |
| Business Phone Number: | 2258198857 |
| Business Fax Number: | 2257676822 |
| Mailing Address: | 7777 Hennessy Blvd, Suite 1004 154 BATON ROUGE |
| State: | LA |
| Postal Code: | 70808 |
| Phone Number: | 2252149352 |
| Fax Number: | 2252149349 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 010156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |