Individual
MR. PHILIP CARSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5900
Mailing address
701 CRESTWOOD DR, TULLAHOMA, TN 37388-2931
(931) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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