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Individual

PAUL A. DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
426 W COLLEGE ST, FLORENCE, AL 35630-5521
(256) 718-4041
(256) 718-3665
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 320-7280

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23118
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932588
AL
01
51001584
BLUE CROSS BLUE SHIELD
AL
01
51001589
BLUE CROSS BLUE SHIELD
AL
01
753040383
TAX ID
AL
Enumeration date
01/23/2007
Last updated
08/18/2015
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