Healthcare Provider Details
I. General information
NPI: 1790443638
Provider Name (Legal Business Name): DAVIS CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2021
Last Update Date: 12/07/2021
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 INTERNATIONAL DR STE 200
FRANKLIN TN
37067-1763
US
IV. Provider business mailing address
PO BOX 83
COLLEGE GROVE TN
37046-0083
US
V. Phone/Fax
- Phone: 615-271-2757
- Fax: 629-230-2377
- Phone: 615-271-2757
- Fax: 629-230-2377
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GARET
S
DAVIS
Title or Position: OWNER
Credential: DC
Phone: 760-983-9978