Organization
DAVIS MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY JAN DAVIS M.D. (OWNER/PRESIDENT)
(256) 882-0132
Entity
Organization
Contact information
Practice address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461
Mailing address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00004217
AL
Other
Enumeration date
10/19/2005
Last updated
08/22/2020
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