Individual provider · Type 1 NPI
Tully Booth Davis
Student in an Organized Health Care Education/Training Program · Prattville, AL
NPI number
1629676747
Active
Practice location
705 Emerald Dr
Prattville, AL 36067-3711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1629676747
Tully Booth Davis's National Provider Identifier is 1629676747, issued on Oct 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Prattville, AL. The record was last updated on Oct 12, 2020.