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Ethan Davis
NPI 1023902590 · on the registry since 2025
Practice
- Address
- 177 Mouse Creek Rd Nw
Cleveland, TN 37312 - Phone
- (888) 963-2228
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee