Individual
MR. MICHAEL EDWIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
624 HAWTHORNE DR, MARYVILLE, TN 37803-6316
(865) 983-5566
(865) 983-5566
Mailing address
624 HAWTHORNE DRIVE, MARYVILLE, TN 37803
(865) 983-5566
(865) 983-5566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000000202
TN
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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