MEDICARE: MS. MICHELLE GOLDMAN DAVIS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	363A00000X	TN
2	363AM0700X	Medical Physician Assistant	PA0307	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA0307	OTHER	TN	PHYSICIAN ASSITANT NUMBER

General Provider Information

NPI Number	:	1386651214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE GOLDMAN DAVIS PA-C

Provider Business Mailing Address
First Line	:	2550 BUSINESS PARK DR NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-6503
Country	:	US
Telephone Number	:	423-339-8881
Fax Number	:	423-464-6126

Provider Business Practice Location Address
First Line	:	2550 BUSINESS PARK DR NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-6503
Country	:	US
Telephone Number	:	423-339-8881
Fax Number	:	423-464-6126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	05/17/2016

Similar Medicare Providers

1407851884 — THOMAS WILLIAM MCGUIRE M.D.
Practice Location Address:

2560 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-472-5401
Practice Fax: 423-479-3060

1356346720 — NANCY MARIE BLANK M.D.
Practice Location Address:

2560 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-472-5401
Practice Fax: 423-479-3060

1235117250 — DR. BRENDA A SNOWMAN MD
Practice Location Address:

2550 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-339-8881
Practice Fax: 423-464-6126

1417928441 — JOHN W CHAMBERS MD
Practice Location Address:

2550 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-339-8881
Practice Fax: 423-464-6126

1063465292 — CLEVELAND EYE CLINIC, PC
Practice Location Address:

2560 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-472-5401
Practice Fax: 423-479-3060

1801989678 — OCOEE OB/GYN, PC
Practice Location Address:

2550 BUSINESS PARK DR NE
CLEVELAND, TN
37311-6503

Practice Phone: 423-339-8881
Practice Fax: 423-464-6126

Directions to “ MS. MICHELLE GOLDMAN DAVIS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.