Individual
DR. SHANNON P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712
Mailing address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
23766
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007399267
AETNA
—
Enumeration date
05/22/2006
Last updated
07/08/2007
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