Provider Demographics
NPI:1790128429
Name:DAVIS, ASHLEY ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9971 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-9525
Mailing Address - Country:US
Mailing Address - Phone:251-660-3500
Mailing Address - Fax:251-660-3501
Practice Address - Street 1:9971 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-9525
Practice Address - Country:US
Practice Address - Phone:251-660-3500
Practice Address - Fax:251-660-3501
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1470207Q00000X
ALDO.1470193400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193400000XGroupSingle Specialty
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine