Individual
LAURIE E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1400 HATCHER LN, COLUMBIA, TN 38401-3563
(615) 410-4990
(615) 410-4250
Mailing address
2548 RIDEOUT LN, MURFREESBORO, TN 37128-7686
(615) 410-4990
(615) 410-4250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1886
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527638
—
TN
Enumeration date
09/26/2006
Last updated
08/14/2023
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