Individual
GRANT H DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
502 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5907
(865) 981-8289
Mailing address
7413 WERKBUND WAY, KNOXVILLE, TN 37920-7631
(865) 806-1491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1318
TN
Other
Enumeration date
12/09/2012
Last updated
10/11/2021
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