# GLENN A DAVIS, MD (RHC)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003021858
- **Authorized official:** MS. TRACY A HOWARD (BILLING)
- **Authorized official phone:** (931) 728-2022

## Contact information

- **Practice address:** 1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
- **Practice address phone:** (931) 728-2022
- **Practice address fax:** (931) 723-1210
- **Mailing address:** 1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
- **Mailing address phone:** (931) 728-2022
- **Mailing address fax:** (931) 723-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | MD16760 | TN | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 05/19/2011