Provider Demographics
NPI:1275546855
Name:DAVIS, JAMES DANNY (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DANNY
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 WARFIELD BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8903
Mailing Address - Country:US
Mailing Address - Phone:931-648-3000
Mailing Address - Fax:931-648-3010
Practice Address - Street 1:329 WARFIELD BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8903
Practice Address - Country:US
Practice Address - Phone:931-648-3000
Practice Address - Fax:931-648-3010
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor