Individual
JIMMY W. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 STEPHEN J WHITE BLVD, TALLADEGA, AL 35160-2106
(256) 315-2252
(256) 362-5959
Mailing address
101 STEPHEN J WHITE BLVD, TALLADEGA, AL 35160-2106
(256) 315-2252
(256) 362-5959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038905
—
AL
05
—
142299
—
AL
05
—
142543
—
AL
Enumeration date
09/24/2006
Last updated
05/02/2013
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