Most Relevant Information
Provider Data
| NPI Number: | 1003479031 |
| Provider Name: | LATASHA DAVIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1-152931 |
Most Important Dates
| Enumeration Date: | 04/16/2019 |
| Last Updated: | 04/16/2019 |
Provider Practice Location
615 18TH ST S
BIRMINGHAM
AL
352331826
Practice Location Phone/Fax
| Phone: | 2059963050 |
| Fax: |
Provider Mailing Location
5208 HEATHERBROOKE PKWY
BIRMINGHAM
AL
352428087
Provider Mailing Phone/Fax
| Phone: | 2053061337 |
| Fax: |