Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tully Booth Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629676747

Tully Booth Davis is a Student in an Organized Health Care Education/Training Program in Prattville, Alabama. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

705 Emerald Dr
Prattville, AL 36067-3711
Phone: (205) 249-8551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629676747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address705 Emerald Dr, Prattville, AL 36067-3711

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