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Individual

CAROL J DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1080 2ND ST, CHEROKEE, AL 35616-7328
(256) 359-4519
(256) 359-4516
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 381-5232

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-031176
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326373861
GROUP NPI
AL
Enumeration date
06/07/2006
Last updated
01/15/2013
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