Individual
MR. BARRY DEE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP 3147,
Contact information
Practice address
735 W JACKSON ST, COOKEVILLE, TN 38501-3993
(931) 267-7703
Mailing address
735 W JACKSON ST, COOKEVILLE, TN 38501-3993
(931) 267-7703
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
06
TN
224P00000X
Prosthetist
Primary
07
TN
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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