Provider Demographics
NPI:1235941659
Name:DAVIS, JOHN HODGES (HCHS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:HODGES
Last Name:DAVIS
Suffix:
Gender:M
Credentials:HCHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 HANOVER SQ
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4843
Mailing Address - Country:US
Mailing Address - Phone:337-258-2652
Mailing Address - Fax:
Practice Address - Street 1:104 HANOVER SQ
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4843
Practice Address - Country:US
Practice Address - Phone:337-258-2652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach