Doctor Name: | DR. LARRY W DAVIS |
NPI Number: | 1003806605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD 0000006568 |
Business Practice Address: | 4843 Hixson Pike Hixson, TN - 373434478 |
Business Phone Number: | 4238703700 |
Business Fax Number: | 4238773289 |
Mailing Address: | 4843 Hixson Pike, HIXSON |
State: | TN |
Postal Code: | 373434478 |
Phone Number: | 4238703700 |
Fax Number: | 4238773289 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD 0000006568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |