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Individual

JEFFREY CLARENCE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-1000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-071
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009975990
AL
05
051551030
AL
Enumeration date
09/26/2006
Last updated
08/15/2011
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