Individual
TERESA C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 HOLMES DR, OXFORD, AL 36203-2420
(205) 956-9192
Mailing address
1073 KELLY RANCH RD, TALLADEGA, AL 35160-4607
(256) 872-0964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10181726
AL
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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