NPI | 1902246945 |
---|---|
Professional Name | R. TIM DAVIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9377694) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097301) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN155517) | |
Enumeration Date | 2013-07-03 |
Last Update Date | 2024-05-08 |