Individual
LARRY EUGENE DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, U-115, KNOXVILLE, TN 37920-1511
(865) 544-9351
(865) 544-9314
Mailing address
1924 ALCOA HWY, U-67, KNOXVILLE, TN 37920-1511
(865) 544-9352
(865) 544-9314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42002
UNITED HEALTH CARE
TN
01
—
146978
BLUE CROSS/BLUE SHIELD
TN
01
—
2407783
CIGNA
TN
05
—
3022719
—
TN
01
—
5459033
AETNA
TN
01
—
TN0162
JOHN DEERE
TN
Enumeration date
05/01/2006
Last updated
07/08/2007
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