Individual
MALLORI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3686 GRANDVIEW PKWY STE 430, BIRMINGHAM, AL 35243-3404
(205) 605-8111
Mailing address
6042 TOWNLEY CT, MC CALLA, AL 35111-3479
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2447
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
10/16/2018
Last updated
08/02/2022
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