| Organization Name: | GLENN A DAVIS, MD (RHC) |
| NPI Number: | 1003021858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACY A HOWARD (BILLING) |
| Mailing Address: | 1020 Mcarthur St Manchester |
| State: | TN US |
| Postal Code: | 373552453 |
| Phone Number: | 9317282022 |
| Fax Number: | 9317231210 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | MD16760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |