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Individual

SUEANNE DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
108 5TH ST NE, ALICEVILLE, AL 35442-2200
(205) 373-3945
Mailing address
PO BOX 211, CARROLLTON, AL 35447-0211
(205) 399-1433

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-06250
AL
363L00000X
Nurse Practitioner
Primary
R865907
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08470589
MS
01
562251777
BLUE CROSS
MS
01
P00191280
RAILROAD MEDICARE
MS
Enumeration date
06/08/2006
Last updated
08/13/2025
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