Tami Lea Davis
Individual provider Active NPI Contractor · Hurricane Mills, TN
NPI 1104469147 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1104469147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3608 Highway 230
Hurricane Mills, TN 37078-2163 - Phone
- (931) 296-8030
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
3608 Highway 230
Hurricane Mills, TN 37078-2163
Mailing address
3608 Highway 230
Hurricane Mills, TN 37078-2163
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.