Individual
MRS. TAMATHA SULLIVAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCCA
Contact information
Practice address
188 HOSPITAL DR, STE 101, FAIRHOPE, AL 36532-2038
(251) 928-0300
(251) 990-1898
Mailing address
188 HOSPITAL DR, STE 101, FAIRHOPE, AL 36532-2038
(251) 928-0300
(251) 990-1898
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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