Individual
MRS. CAYCE W. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
112 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
(731) 664-1994
Mailing address
75 HANOVER DR, JACKSON, TN 38305-5672
(731) 256-8247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2744
TN
Other
Enumeration date
07/07/2007
Last updated
07/08/2007
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