Individual
THOMAS MOORE DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2960
(205) 556-9400
(205) 556-4655
Mailing address
700 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2960
(205) 556-9400
(205) 556-4655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14788
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083834
—
AL
01
—
83834
BCBS
AL
01
—
F887
MEDICARE GROUP
—
Enumeration date
09/27/2006
Last updated
07/29/2008
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