Provider Demographics
NPI:1083657209
Name:DAVIS, ANNA L (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:POB III
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-939-4512
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR STE 300
Practice Address - Street 2:POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1612
Practice Address - Country:US
Practice Address - Phone:205-939-4512
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-02-24
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Provider Licenses
StateLicense IDTaxonomies
AL19506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL154054Medicaid
AL511-41245OtherBCBSAL
AL511-41245OtherBCBSAL