Individual
DR. MARK ANTHONY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 W MAIN ST STE A, NEWBERN, TN 38059-1573
(731) 627-9573
(731) 627-3051
Mailing address
625 W MAIN ST STE A, NEWBERN, TN 38059-1573
(731) 627-9573
(731) 627-3051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11256
TN
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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