Organization
PEDIATRICS AT TWILIGHT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA B DAVIS MD (OWNER)
(334) 220-7988
Entity
Organization
Contact information
Practice address
128 MITYLENE PARK LN, MONTGOMERY, AL 36117-3758
(334) 220-7988
(334) 279-8214
Mailing address
128 MITYLENE PARK LN, MONTGOMERY, AL 36117-3758
(334) 220-7988
(334) 279-8214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22426
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630902059
—
AL
Enumeration date
07/13/2010
Last updated
07/13/2010
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