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Mallori Davis

Orthopaedic Surgery, Sports Medicine in Birmingham, AL. Individual provider (NPI-1).

NPI number1477029528
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1477029528
Entity type
Individual (NPI-1)
Name
Mallori Davis
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 16, 2018
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports Medicine2447ALYes
390200000X Student in an Organized Health Care Education/Training Program–AL

Practice location

3686 Grandview Pkwy Ste 430
Birmingham, AL 35243-3404

Phone 205-605-8111

Mailing address

6042 Townley Ct
Mc Calla, AL 35111-3479

Other practice locations

800 Lakeshore Dr
Birmingham, AL 35229-0001

Phone 205-726-2011

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Sports Medicine (Orthopaedic Surgery) Physician providers in Birmingham, AL

All 26 Sports Medicine (Orthopaedic Surgery) Physician providers in Birmingham · All 18,836 providers in Birmingham

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