NPI 1104964485

Tanya Michele Davis, BS

Practitioner Case Manager/Care Coordinator Big Stone Gap, VA

Practice location

Address: 3169 2nd Avenue East Wise County Behavioral Health, Big Stone Gap, VA 24219
Phone: (276) 523-8360
Fax: (276) 523-8374
Mailing address: PO Box 9054, Gray, TN 37615-9054

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1104964485
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.