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NPI Code Detail

MEDICARE: DR. TIMOTHY ALVIN DAVIS M.D.

MEDICARE: DR. TIMOTHY ALVIN DAVIS M.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist5204AL

General Provider Information

NPI Number : 1376703306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY ALVIN DAVIS M.D.
Provider Business Mailing Address
First Line : 2914 WESTMORELAND DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35223-2726
Country : US
Telephone Number : 205-967-5741
Fax Number :
Provider Business Practice Location Address
First Line : 2914 WESTMORELAND DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35223-2726
Country : US
Telephone Number : 205-967-5741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 06/12/2008

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