# DAVIS FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1427238997
- **Authorized official:** DR. GLENTON W DAVIS SR. MD (OWNER)
- **Authorized official phone:** (334) 874-0017

## Contact information

- **Practice address:** 223 DALLAS AVE, SELMA, AL 36701-5744
- **Practice address phone:** (334) 874-0017
- **Practice address fax:** (334) 872-6563
- **Mailing address:** 223 DALLAS AVE, SELMA, AL 36701-5744
- **Mailing address phone:** (334) 874-0017
- **Mailing address fax:** (334) 872-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14309 | AL | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 12/01/2020