Individual
DR. DERON EARL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARL R. DARNALL ARMY MEDICAL CENTER,, 36065 SANTE FE AVE, FT HOOD, TX 76544
(254) 553-2053
Mailing address
565 BIBB LN, BRENT, AL 35034-4040
(205) 926-5252
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101262033
VA
208D00000X
General Practice Physician
Primary
54149
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2016
Last updated
06/12/2026
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