MEDICARE: DR. WILLIAM ROSS DAVIS MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	00008835	AL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051541980	OTHER	AL	BCBS PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	051541981	OTHER	AL	BCBS PROVIDER NUMBER
8	051541983	OTHER	AL	BCBS PROVIDER NUMBER
9	051541974	OTHER	AL	BCBS PROVIDER NUMBER
10	051541982	OTHER	AL	BC PROVIDER NUMBER
11	1790716165	OTHER	AL	NPI
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	051541979	OTHER	AL	BCBS PROVIDER NUMBER

NPI Number	:	1790716165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ROSS DAVIS MD

Provider Business Mailing Address
First Line	:	2375 CHAMPIONS BLVD
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-6471
Country	:	US
Telephone Number	:	334-321-3809
Fax Number	:	334-321-3798

Provider Business Practice Location Address
First Line	:	2375 CHAMPIONS BLVD
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-6471
Country	:	US
Telephone Number	:	334-321-3809
Fax Number	:	334-321-3798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/26/2011

2375 CHAMPIONS BLVD , 3RD FLOOR
AUBURN, AL
36830-6471

Practice Phone: 334-528-5959
Practice Fax: 334-528-5899