Individual
DR. DAVISSON JEAN LEANDRE F E EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
671 SNOW ST, OXFORD, AL 36203-1212
(256) 770-4750
(256) 770-4032
Mailing address
671 SNOW ST, OXFORD, AL 36203-1212
(256) 770-4750
(256) 770-4031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168070
—
AL
Enumeration date
09/14/2007
Last updated
01/28/2016
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