JOHNATHON DEWAYNE DAVIS

BRENTWOOD, TN
NPI1497445449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: TN  14005)
Enumeration Date2023-05-12
Last Update Date2023-05-12
Business Address
Mr. JOHNATHON DEWAYNE DAVIS DO
1001 HEALTH PARK DR
BRENTWOOD, TN 37027-5721
Phone number: 615-762-0529
Mailing Address
Mr. JOHNATHON DEWAYNE DAVIS DO
600 HERITAGE DR APT 288
MADISON, TN 37115-6025
Phone number: 615-762-0529
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