Individual
LARRY T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3012 CENTRE OAK WAY, SUITE 101, GERMANTOWN, TN 38138
(901) 590-1065
Mailing address
3012 CENTRE OAK WAY, SUITE 101, GERMANTOWN, TN 38138
(901) 590-1065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038807
BCBS
TN
01
—
6244189
CIGNA
TN
Enumeration date
09/29/2006
Last updated
07/08/2007
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