Individual
DR. IRA N.B. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
NEX - MIDSOUTH, BLDG S752, MILLINGTON, TN 38054
(901) 873-4913
(901) 873-4912
Mailing address
PO BOX 281498, MEMPHIS, TN 38168-1498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 949
TN
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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