| Leon N Davis Md Pc | |
|
1725 W 4th St Montgomery AL 36106 | |
| (334) 262-2071 | |
| (334) 269-9777 |
| Full Name | Leon N Davis Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1725 W 4th St, Montgomery, Alabama |
| Authorized Official Name and Position | Leon Nolan Davis (PRESIDENT OWNER) |
| Authorized Official Contact | 3342622071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon N Davis Md Pc Po Box 230577 Montgomery AL 36123-0577 Ph: (334) 262-2071 | Leon N Davis Md Pc 1725 W 4th St Montgomery AL 36106 Ph: (334) 262-2071 |
| NPI Number | 1326009366 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 5193627636 |
|---|---|
| Medicare Enrollment ID | O20040123000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326009366 | NPI | - | NPPES |
| 000022924 | Medicaid | AL | |
| 051022924 | Other | AL | BCBS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00016726 (Alabama) | Primary |
| Provider Name | Leon Nolan Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265493134 PECOS PAC ID: 6901708452 Enrollment ID: I20040710000280 |
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