Individual
MRS. VIRGINIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RD, LD
Contact information
Practice address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(901) 590-5485
Mailing address
5027 NEW WATERMELON RD, TUSCALOOSA, AL 35406-1419
(901) 590-5485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
981764
AL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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