Individual
BLAINE EDWARD SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 MADISON AVE STE 447, MEMPHIS, TN 38103-3438
(615) 396-6454
Mailing address
1020 N HIGHLAND AVE STE C, MURFREESBORO, TN 37130-2494
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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