Provider Demographics
NPI:1033225909
Name:DAVIS, TAMMI DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMI
Middle Name:DAWN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12207 FAULKNER DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1258
Mailing Address - Country:US
Mailing Address - Phone:410-581-5363
Mailing Address - Fax:410-902-1933
Practice Address - Street 1:9199 REISTERSTOWN RD
Practice Address - Street 2:SUITE 203B
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4520
Practice Address - Country:US
Practice Address - Phone:419-591-3406
Practice Address - Fax:410-902-1933
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine