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NPI Code Detail

MEDICARE: JAMES EUGENE DAVIS

MEDICARE:   JAMES EUGENE DAVIS
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
1183500000XPharmacist11445AL

General Provider Information

NPI Number : 1629700307
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES EUGENE DAVIS
Provider Business Mailing Address
First Line : 5301 SUMMERVILLE RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-7423
Country : US
Telephone Number : 334-297-3061
Fax Number : 334-297-0193
Provider Business Practice Location Address
First Line : 5301 SUMMERVILLE RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-7423
Country : US
Telephone Number : 334-297-3061
Fax Number : 334-297-0193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2022
Last Update Date : 06/30/2022

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Directions to “ JAMES EUGENE DAVIS ” Practice Location

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