Individual
DR. GLENN ALAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
(931) 728-2022
(931) 723-1210
Mailing address
1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
(931) 728-2022
(931) 723-1210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017354
—
TN
Enumeration date
08/11/2005
Last updated
01/26/2015
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