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DR. WILLIAM LARRY DAVIDSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8725 COUNTY ROAD 64, DAPHNE, AL 36526
(251) 625-1370
(251) 625-1380
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
27233
AL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
27233
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02277060
MS MEDICAID
MS
01
051558976
MEDICARE
AL
01
1267986
CIGNA HC
AL
05
212916
AL
05
213237
AL
05
220933
AL
05
221413
AL
01
2640282
UHC
AL
01
511-95114
BCBS
AL
01
512-05653
BCBS
AL
01
512-05654
BCBS
AL
01
515-41041
BCBS
AL
01
515-91801
BCBS
AL
01
7492847
AETNA
AL
05
9998923
AL
01
I151192
VIVA HEALTH
AL
01
P00632093
RR MEDICARE
AL
Enumeration date
07/19/2006
Last updated
06/28/2019
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