Individual
MISS HOLLY R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24623 UNION HILL RD, ARDMORE, TN 38449-3101
(931) 427-2143
Mailing address
215 THACH LN, MERIDIANVILLE, AL 35759-1625
(256) 788-7712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7566
TN
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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