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TULLY BOOTH DAVIS
NPI 1629676747
Student in an Organized Health Care Education/Training Program in Prattville, AL

Active since October 12, 2020
705 EMERALD DR, PRATTVILLE, AL 36067(205) 249-8551 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tully Booth Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TULLY BOOTH DAVIS (NPI 1629676747) is an individual student in an organized health care education/training program in Prattville, Alabama and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1629676747
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTULLY BOOTH DAVIS
Location Address705 EMERALD DRPrattville, AL 36067-3711
Mailing Address705 Emerald DrPrattville, AL 36067-3711 · (205) 249-8551
Phone(205) 249-8551
Sole ProprietorNo
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1629676747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
705 EMERALD DR, Prattville, AL 36067
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Other Identifiers 1

OtherEIB901379535Blue Cross Blue Shield

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tully Davis's NPI number?

The NPI number for Tully Davis is 1629676747. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Tully Davis located?

Tully Davis practices at 705 Emerald Dr, Prattville, AL 36067. The listed phone number is (205) 249-8551.

What is Tully Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tully Davis was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.