Individual
MR. THOMAS JOHN DAVIDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 OFFICE PARK DRIVE, GULF SHORES, AL 36542-3432
(251) 968-7379
(251) 968-5960
Mailing address
PO BOX 1859, GULF SHORES, AL 36547-1859
(251) 968-7379
(251) 968-5960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10519
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503998
BLUE CROSS AND BLUE SHIED
AL
Enumeration date
08/30/2006
Last updated
12/12/2007
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