Individual
DR. DENNIS ALLAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-3229
Mailing address
143 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-3229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28963
GA
208600000X
Surgery Physician
Primary
46558
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00328391A
—
GA
01
—
010015387
RAILROAD MEDICARE
GA
05
—
1522027
—
TN
01
—
237034DA
BC/BS
GA
01
—
4277903
BCBS
TN
Enumeration date
06/12/2006
Last updated
01/03/2012
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