NPI 1477029528 · live from the CMS NPI Registry
Mallori Davis
Orthopaedic Surgery, Sports Medicine in Birmingham, AL. National Provider Identifier 1477029528, active.
NPI record
| NPI | 1477029528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 3686 Grandview Pkwy Ste 430, Birmingham, AL 35243 |
| Practice phone | 205-605-8111 |
| Mailing address | 6042 Townley Ct, Mc Calla, AL 35111 |
| Enumerated | October 16, 2018 |
| Last updated | August 2, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 2447 (AL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.