Provider Demographics
NPI:1467446005
Name:DAVIS, ALLAN ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ERIC
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 LEE HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-0805
Mailing Address - Country:US
Mailing Address - Phone:423-499-6199
Mailing Address - Fax:423-499-0107
Practice Address - Street 1:7155 LEE HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-0800
Practice Address - Country:US
Practice Address - Phone:423-499-6199
Practice Address - Fax:423-499-0107
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD012628174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist