Organization
DAVIS MEDICAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM DAVIS MD (OWNER)
(205) 695-9411
Entity
Organization
Contact information
Practice address
110 MEDICAL CLINIC DR, VERNON, AL 35592-5224
(205) 695-9411
Mailing address
PO BOX 609, VERNON, AL 35592-0609
(205) 695-9411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3636
AL
Other
Enumeration date
11/28/2010
Last updated
11/28/2010
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