Provider Demographics
NPI:1487732848
Name:DUNBAR-DAVIES, WINNIFRED JENNEH (MD)
Entity type:Individual
Prefix:
First Name:WINNIFRED
Middle Name:JENNEH
Last Name:DUNBAR-DAVIES
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:PO BOX 80982
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37414
Mailing Address - Country:US
Mailing Address - Phone:423-495-4349
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:3300 WILCOX BLVD.
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411
Practice Address - Country:US
Practice Address - Phone:423-803-9180
Practice Address - Fax:423-803-9181
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5487562OtherCIGNA
TNTN0101OtherUHCRIVERYVALLEY
TN4104835OtherBLUE CROSS BLUE SHIELD TN
TN100021923OtherPHP
TNTN0101OtherUHCRIVERYVALLEY
TNF94312Medicare UPIN