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Search › Illinois › 1041C0700X

Bryant Davis, LCSW

NPI 1366298143 · on the registry since 2024

Practice

Address
2601 W Main St
Carbondale, IL 62901
Phone
(618) 549-5361
Fax
(618) 351-4878
Organisation at this address
Clinic Laboratory
The Carbondale Clinic
The Carbondale Clinic Dme
Physicians Surgery Center, Llc
Carbondale Rural Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois