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Search › Tennessee › 183500000X

Mark Davis

NPI 1861082661 · on the registry since 2021

Practice

Address
625 W Main St Ste A
Newbern, TN 38059
Phone
(731) 627-9573
Fax
(731) 627-3051
Organisation at this address
Christian Care Clinic
Ma Davis Enterprises, Llc
Ma Davis Enterprises, Llc
Newbern Discount Drug Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-25

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