Individual
MR. JUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6172 AIRWAYS BLVD, CHATTANOOGA, TN 37421-2984
(423) 622-1551
Mailing address
6172 AIRWAYS BLVD, CHATTANOOGA, TN 37421-2984
(423) 622-1551
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
0346
TN
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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