Individual
DR. CHAD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 COLLEGE ST, SUITE B, ATHENS, AL 35611-2714
(256) 233-2393
Mailing address
PO BOX 32, ATHENS, AL 35612-0032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S993TA554
AL
152WC0802X
Corneal and Contact Management Optometrist
S993TA554
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051503429
—
AL
Enumeration date
05/01/2006
Last updated
04/07/2008
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