Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 48450 | TN |
NPI | 1164630364 |
---|---|
Provider Name | Dr. Tamarrah Davis |
First Address | Chattanooga, TN 37421-1272 |
Second Address | Chattanooga, TN 37403-1405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 15/10/2015 |