Provider Demographics
NPI:1124019302
Name:DAVIS, JANET A (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:ABERCROMBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3686 GRANDVIEW PKWY STE 800
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3408
Mailing Address - Country:US
Mailing Address - Phone:205-858-0900
Mailing Address - Fax:205-858-0901
Practice Address - Street 1:3686 GRANDVIEW PKWY STE 800
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-3408
Practice Address - Country:US
Practice Address - Phone:205-858-0900
Practice Address - Fax:205-858-0901
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL10214207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000015116Medicare ID - Type Unspecified
C74705Medicare UPIN