Most Relevant Information
Provider Data
| NPI Number: | 1003400631 |
| Provider Name: | MARY C DAVERN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 28287 |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
3919 LEBANON PIKE
HERMITAGE
TN
370762011
Practice Location Phone/Fax
| Phone: | 6153910525 |
| Fax: | 6153910693 |
Provider Mailing Location
PO BOX 681478
FRANKLIN
TN
370681478
Provider Mailing Phone/Fax
| Phone: | 6155916590 |
| Fax: | 6155916601 |