SearchAlabama101YP2500X

Wallace Davis

NPI 1780365379 · on the registry since 2023

Practice

Address
3316 Benyard Dr
Mobile, AL 36619
Phone
(251) 421-7652
Organisation at this address
Family Matters Too, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-27

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