Individual
MRS. PAMELA B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1627 OLD GRAY STATION RD, STE 4, JOHNSON CITY, TN 37615-4193
(423) 282-3376
(423) 791-8388
Mailing address
1627 OLD GRAY STATION RD, STE 4, JOHNSON CITY, TN 37615-4193
(423) 282-3376
(423) 791-8388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000001328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037847
—
TN
Enumeration date
08/10/2006
Last updated
04/21/2020
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