Doctor Name: | DR. ALLAN ERIC DAVIS |
NPI Number: | 1467446005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD012628 |
Business Practice Address: | 7155 Lee Hwy Suite 600 Chattanooga, TN - 374210800 |
Business Phone Number: | 4234996199 |
Business Fax Number: | 4234990107 |
Mailing Address: | 7155 Lee Hwy, Suite 600 CHATTANOOGA |
State: | TN |
Postal Code: | 374210805 |
Phone Number: | 4234996199 |
Fax Number: | 4234990107 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD012628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |