Individual
DR. JAMES GRADY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 10TH AVE S, SUITE 509, BIRMINGHAM, AL 35205-1200
(205) 933-7847
(205) 933-7832
Mailing address
2700 10TH AVE S, SUITE 509, BIRMINGHAM, AL 35205-1200
(205) 933-7847
(205) 933-7832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL5711
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-09577
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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