Individual
MATTHEW C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 CENTERVILLE RD STE 300, TALLAHASSEE, FL 32308-4675
(508) 775-1158
(850) 656-3645
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-3546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33705
AL
207T00000X
Neurological Surgery Physician
33705
AL
207T00000X
Neurological Surgery Physician
Primary
ME142998
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
09/15/2021
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