Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 27233 | AL |
N | 207RA0201X | Internist - Allergy & Immunology | 27233 | AL |
NPI | 1578583191 |
---|---|
Provider Name | Dr. William Larry Davidson II |
First Address | Mobile, AL 36670-0987 |
Second Address | Daphne, AL 36526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 28/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02277060 | MS MEDICAID (01) | MS |
051558976 | MEDICARE (01) | AL |
1267986 | CIGNA HC (01) | AL |
212916 | (05) | AL |
213237 | (05) | AL |
220933 | (05) | AL |
221413 | (05) | AL |
2640282 | UHC (01) | AL |
511-95114 | BCBS (01) | AL |
512-05653 | BCBS (01) | AL |
512-05654 | BCBS (01) | AL |
515-41041 | BCBS (01) | AL |
515-91801 | BCBS (01) | AL |
7492847 | AETNA (01) | AL |
9998923 | (05) | AL |
I151192 | VIVA HEALTH (01) | AL |
I51192 | (02) | AL |
P00632093 | RR MEDICARE (01) | AL |