Individual
DAVIS TATE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2020 CITY VISTA WAY APT 2102, KNOXVILLE, TN 37920-1825
(501) 247-0344
Mailing address
2020 CITY VISTA WAY APT 2102, KNOXVILLE, TN 37920-1825
(501) 247-0344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3481
TN
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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