Tully Booth Davis

NPI #1629676747 in Prattville, Alabama

Provider Information

NPI Number: 1629676747
Entity Type: Individual
Name: Tully Booth Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 12, 2020
Last Updated: Oct 12, 2020

Practice Location

Address: 705 EMERALD DR
City: Prattville
State: Alabama
ZIP Code: 36067-3711
Phone: (205) 249-8551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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