Organization
DAVIS CLINIC MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TKHILAISHVILI (PRESIDENT)
(860) 839-4508
Entity
Organization
Contact information
Practice address
21 SCHOOL ST, SUITE 1, QUINCY, MA 02169-6640
(860) 839-4508
Mailing address
21 SCHOOL ST, SUITE 1, QUINCY, MA 02169-6640
(860) 839-4508
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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