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Individual

RENEE S DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
209 W SPRING ST, SUITE 102, SYLACAUGA, AL 35150-2973
(256) 401-4686
(256) 401-4694
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4606
(256) 401-4603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21128
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009918080
AL
Enumeration date
09/08/2006
Last updated
03/12/2013
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