Individual
TIFFANY RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
608 WHIRLAWAY DR, ANTIOCH, TN 37013-5477
(931) 994-4244
Mailing address
PO BOX 1984, ANTIOCH, TN 37011-1984
(931) 994-4442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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