Individual
MR. DONNIE BRITTEN DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
52 GLOSTER CT, MALVERN, AR 72104-3900
(501) 420-4491
Mailing address
52 GLOSTER CT, MALVERN, AR 72104-3900
(501) 420-4491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 364
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT 364
ATHLETIC TRAINER
AR
Enumeration date
07/03/2006
Last updated
06/16/2012
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