Thomas Davis, BS

Individual provider Active NPI Case Manager/Care Coordinator · Lewisburg, TN

NPI 1508987157 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508987157
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1221 Nashville Hwy
Lewisburg, TN 37091-2221
Phone
(931) 359-5802
Fax
(931) 359-0148
NPI assigned
Apr 2, 2007
Sex
Male
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
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1221 Nashville Hwy
Lewisburg, TN 37091-2221

Mailing address

1221 Nashville Hwy
Lewisburg, TN 37091-2221
Phone (931) 359-5802

Other providers in Lewisburg, TN

All providers in Lewisburg, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.