Individual
DEBORAH L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1030 JEFFERSON AVE # 120, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
545 S MAIN ST APT 401, MEMPHIS, TN 38103-4820
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002368
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00991691
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LDN0000002368
TENNESSEE DIETETIC LICENSURE
TN
Enumeration date
10/25/2012
Last updated
10/25/2012
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