Individual
DR. DEBRA STEWART DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 810, TUSCALOOSA, AL 35401-2086
(205) 366-0009
(205) 366-0097
Mailing address
701 UNIVERSITY BLVD E, SUITE 810, TUSCALOOSA, AL 35401-2086
(205) 366-0009
(205) 366-0097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051526799
BLUE CROSS/BLUE SHIELD OF ALABAMA
AL
05
—
051526799
—
AL
01
—
P00219609
MEDICARE RAILROAD
AL
Enumeration date
11/30/2006
Last updated
12/16/2010
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