Healthcare Provider Details

I. General information

NPI: 1790716165
Provider Name (Legal Business Name): WILLIAM ROSS DAVIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 HIGHWAY 22 W
ALEXANDER CITY AL
35010-4413
US

IV. Provider business mailing address

1649 HIGHWAY 22 W
ALEXANDER CITY AL
35010-4413
US

V. Phone/Fax

Practice location:
  • Phone: 256-215-5323
  • Fax: 256-215-5324
Mailing address:
  • Phone: 334-321-0540
  • Fax: 334-321-0545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number00008835
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: