SearchIndiana101YM0800X

Courtney Davis

NPI 1831849215 · on the registry since 2022 · sole proprietor

Practice

Address
9317 Madina Pkwy
Fort Wayne, IN 46825
Phone
(260) 580-1996
Organisation at this address
Terracedar Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2022-03-28

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 Indiana