Davis, Tangee Melissa

Davis, Tangee Melissa is an individual health care provider with primary practice located at 1111 A Fort Campbell Blvd. , Clarksville TN 37042. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Tangee Melissa can be contacted via phone (931) 645-0346.

Contact Information

Primary practice address
1111 A Fort Campbell Blvd. Clarksville TN 37042
Phone: (931) 645-0346
Fax: (931) 645-0348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2881 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X S-C15-TA-826 Alabama

Profile Details

NPI number 1992936892
LBN Legal business name Davis, Tangee Melissa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2009
Last updated Apr 15th, 2019 - about 7 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 1992936892 NPPES
Tennessee MEDICAID 1534403

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