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312 Northcrest Dr, Springfield, TN 37172-3963 | |
(615) 384-3112 | |
(615) 384-7332 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 312 Northcrest Dr, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811162936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | Kevin W Davis |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326047119 PECOS PAC ID: 5991751869 Enrollment ID: I20070514000611 |
Mailing Address | Practice Location Address |
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Po Box 1455, Springfield, TN 37172-1455 Ph: (615) 384-3112 | 312 Northcrest Dr, Springfield, TN 37172-3963 Ph: (615) 384-3112 |
Dr. Kevin W Davis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 312 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-3112 Fax: 615-382-7332 |