Provider Demographics
NPI:1124113501
Name:DAVIS, JOHN CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 VALLEYDALE RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2010
Mailing Address - Country:US
Mailing Address - Phone:205-988-6858
Mailing Address - Fax:205-987-3501
Practice Address - Street 1:2161 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2010
Practice Address - Country:US
Practice Address - Phone:205-988-6858
Practice Address - Fax:205-987-3501
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025648207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009962145Medicaid
AL51521978OtherBCBS
AL51531492OtherBCBS
AL167432400OtherOWCP
AL630967865OtherTAX ID
AL51534514OtherBCBS
ALP00132243OtherMCRRR
ALP00132243OtherMCRRR
AL167432400OtherOWCP