Individual
JERAMIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 GREENVIEW WAY, INDIANAPOLIS, IN 46229-1500
(317) 650-0822
Mailing address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 986-6755
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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