Organization
GLENN A DAVIS, MD (RHC)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY A HOWARD (BILLING)
(931) 728-2022
Entity
Organization
Contact information
Practice address
1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
(931) 728-2022
(931) 723-1210
Mailing address
1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
(931) 728-2022
(931) 723-1210
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MD16760
TN
Other
Enumeration date
05/14/2007
Last updated
05/19/2011
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