Individual
DOLORES DAVENPORT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
890 ODUM RD, WAL-MART CHECK UP, GARDENDALE, AL 35071-4617
(205) 631-8110
Mailing address
5244 KIRKWALL LN, BIRMINGHAM, AL 35242-4123
(205) 995-1881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-036117
AL
Other
Enumeration date
02/03/2007
Last updated
07/09/2007
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