Individual
BRANDY SUE DEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
Mailing address
110 MOUNTAIN VIEW CIR, JOHNSON CITY, TN 37601-5256
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0125502
TN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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