Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2932 | AL |
NPI | 1003226895 |
---|---|
Provider Name | James Davie |
First Address | Birmingham, AL 35205-5830 |
Second Address | Birmingham, AL 35205-5830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2014 |
Last Update Date | 01/05/2014 |