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Randy Davidson, PHT

NPI 1134297120 · on the registry since 2006 · sole proprietor

Practice

Address
61 River Rd
Mcintosh, AL 36553
Phone
(251) 944-2563
Fax
(251) 944-3080
Organisation at this address
Mcconaghy Drug Store, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama