Davis, Demetria Leonard

Davis, Demetria Leonard is an individual health care provider with primary practice located at 6100 Primacy Pkwy Suite 112, Memphis TN 38119-0705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Demetria Leonard can be contacted via phone (901) 682-5335.

Contact Information

Primary practice address
6100 Primacy Pkwy Suite 112 Memphis TN 38119-0705
Phone: (901) 682-5335
Fax: (901) 682-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1876 Tennessee

Profile Details

NPI number 1699774539
LBN Legal business name Davis, Demetria Leonard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699774539 NPPES
Tennessee MEDICAID 1522983

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