Individual
DR. ROBERT WILLIAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45020 HIGHWAY 17, VERNON, AL 35592
(205) 695-0106
(205) 695-0502
Mailing address
41881 HIGHWAY 17, VERNON, AL 35592-4004
(205) 695-9411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00003636
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009947165
—
AL
01
—
51520568
BCBS AL PIN
AL
Enumeration date
06/22/2006
Last updated
03/21/2018
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