Individual
DR. CAROLYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36468 EMERALD COAST PKWY, SUITE 8102, OLD SOUTH CENTRE, DESTIN, FL 32541-4799
(850) 650-9500
Mailing address
913 MAR WALT DR, FORT WALTON BEACH, FL 32547-6647
(850) 243-8229
(850) 863-2540
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
050010
GA
208D00000X
General Practice Physician
MD 27497
AL
208D00000X
General Practice Physician
Primary
ME 96897
FL
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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