MEDICARE: MARIA DAVILA-MCCARTHY MD

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
1	207V00000X	Obstetrics & Gynecology Physician	29928	OK
2	207V00000X	Obstetrics & Gynecology Physician	MD.42706	AL

General Provider Information

NPI Number	:	1972947794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DAVILA-MCCARTHY MD

Provider Business Mailing Address
First Line	:	3929-1 AIRPORT BLVD
Second Line	:	5TH FLOOR ATTN: HPE
City	:	MOBILE
State	:	AL
Zip	:	36609-1987
Country	:	US
Telephone Number	:	251-591-2913
Fax Number	:

Provider Business Practice Location Address
First Line	:	3290 DAUPHIN ST STE 200
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-4014
Country	:	US
Telephone Number	:	251-361-2595
Fax Number	:	251-361-2596

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

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	06/16/2022

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