Individual
MR. NATHAN MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
135 W RAVINE RD, SUITE 5B, KINGSPORT, TN 37660-3847
(423) 224-3460
Mailing address
2140 MEMORIAL COURT, KINGSPORT, TN 37664
(865) 591-1362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136928
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
077545
TN
Other
Enumeration date
09/25/2007
Last updated
09/26/2007
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