Individual
JULIEANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 929-2584
(423) 722-2060
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO4017
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2017
Last updated
09/17/2020
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