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Stacy Faith Davis

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NPI Number Detailed Information

Provider Information:

Name: Stacy Faith Davis
Gender: F
Provider License Number If Given: 27614

NPI Information:

NPI: 1942203963
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 10/10/2017

Provider Business Mailing Address:

Address: 501 GREAT CIRCLE RD SUITE 200
Nashville, TN 37228
Phone Number: 6153295144
Fax Number: 6152842595

Provider Business Practice Location Address:

Address: 222 2ND AVE N STE 400
Nashville, TN 37201
Phone Number: 6153295144
Fax Number: 6152842595

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207RC0000X
State: TN

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