Individual
AMANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5611
(877) 908-9062
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83882
TN
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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