Individual
JONATHAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1313 13TH AVE SE, DECATUR, AL 35601-4308
(256) 353-1787
Mailing address
1313 13TH AVE SE, DECATUR, AL 35601-4308
(256) 353-1787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E06
AL
Other
Enumeration date
03/27/2018
Last updated
07/17/2018
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