Doctor Name: | DR. DENNIS ALLAN DAVIS |
NPI Number: | 1801838859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28963 |
Business Practice Address: | 143 Kennedy Dr Martin, TN - 382373309 |
Business Phone Number: | 7315875321 |
Business Fax Number: | 7315883229 |
Mailing Address: | 143 Kennedy Dr, MARTIN |
State: | TN |
Postal Code: | 382373309 |
Phone Number: | 7315875321 |
Fax Number: | 7315883229 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 28963 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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. |