Individual
MR. LOCKE H DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1700 MCCALLIE AVE, CHATTANOOGA, TN 37404-3023
(423) 622-2000
(423) 622-2400
Mailing address
1700 MCCALLIE AVE, CHATTANOOGA, TN 37404-3023
(423) 622-2000
(423) 622-2400
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO00940
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454227
—
TN
01
—
4033710
BLUECROSS
TN
Enumeration date
08/11/2005
Last updated
12/10/2007
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