Most Relevant Information
Provider Data
| NPI Number: | 1003645896 |
| Provider Name: | TIFFANY RENEE DAVIS ED.D |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 07/30/2024 |
Provider Practice Location
608 WHIRLAWAY DR
ANTIOCH
TN
370135477
Practice Location Phone/Fax
| Phone: | 9319944244 |
| Fax: |
Provider Mailing Location
PO BOX 1984
ANTIOCH
TN
370111984
Provider Mailing Phone/Fax
| Phone: | 9319944442 |
| Fax: |