IndividualActive
Justin Davis
NPI 1740630904 · Other Specialist/Technologist · Hammond, LA
Provider details
- NPI number
- 1740630904
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
12561 Wardline Rd
Hammond, LA 70401-6212
Phone: (985) 520-5697
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2162
Hammond, LA 70404-2162
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2016-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.