Individual
MS. MICHELLE GOLDMAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 BUSINESS PARK DR NE, CLEVELAND, TN 37311-6503
(423) 339-8881
(423) 464-6126
Mailing address
2550 BUSINESS PARK DR NE, CLEVELAND, TN 37311-6503
(423) 339-8881
(423) 464-6126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363A00000X
TN
363AM0700X
Medical Physician Assistant
Primary
PA0307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA0307
PHYSICIAN ASSITANT NUMBER
TN
Enumeration date
08/02/2006
Last updated
05/17/2016
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