R GLENN DAVIS

KINGSPORT, TN
NPI1548210800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN35683)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- R GLENN DAVIS CRNA
2000 BROOKSIDE DR
KINGSPORT, TN 37660-4627
Phone number: 423-857-7000
Mailing Address
-- R GLENN DAVIS CRNA
238 LAKE MEADOW DR
JOHNSON CITY, TN 37615-4015
Phone number: