Individual
MR. CLINTON L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1815 HAND AVE, BAY MINETTE, AL 36507
(251) 937-5521
Mailing address
1506 MOOG AVENUE, BAY MINETTE, AL 36507
(251) 979-5591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-126214
AL
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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