Organization
DR DONNIE RAY DAVIS OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALONA DAVIS (OFFICE MANAGER)
(731) 587-3555
Entity
Organization
Contact information
Practice address
107 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-3555
Mailing address
107 KENNEDY DR, P O BOX 379, MARTIN, TN 38237-3309
(731) 587-3555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ODT498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3592252
—
TN
Enumeration date
04/28/2008
Last updated
04/28/2008
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