Individual
BILLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37 SANDSTONE CIR STE 92A, JACKSON, TN 38305-2089
(731) 265-6025
Mailing address
1000 URBAN CENTER DR STE 600, VESTAVIA, AL 35242-2584
(205) 208-9312
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
3905
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/05/2016
Last updated
06/01/2021
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