Individual
MATTHEW SHANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 HUGH DANIEL DR STE 250, HOOVER, AL 35242-7146
(205) 533-6644
(205) 533-6644
Mailing address
7500 HUGH DANIEL DR STE 250, HOOVER, AL 35242-7146
(205) 533-6644
(205) 533-6644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0023917
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938744
—
AL
05
—
009941508
—
AL
Enumeration date
07/17/2006
Last updated
07/30/2025
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