Organization
DAVIS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENTON W DAVIS SR. MD (OWNER)
(334) 874-0017
Entity
Organization
Contact information
Practice address
223 DALLAS AVE, SELMA, AL 36701-5744
(334) 874-0017
(334) 872-6563
Mailing address
223 DALLAS AVE, SELMA, AL 36701-5744
(334) 874-0017
(334) 872-6563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14309
AL
Other
Enumeration date
11/13/2007
Last updated
12/01/2020
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