# DAVIS MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023007325
- **Authorized official:** DR. LARRY JAN DAVIS M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (256) 882-0132

## Contact information

- **Practice address:** 7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
- **Practice address phone:** (256) 882-0132
- **Practice address fax:** (256) 882-1461
- **Mailing address:** 7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
- **Mailing address phone:** (256) 882-0132
- **Mailing address fax:** (256) 882-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00004217 | AL | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 08/22/2020