NPI

Teresa R Davis

NPI 1699866830

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CRC
Type
Individual
Enumeration date
2006-09-27
Last updated
2007-07-08

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Specialties

Licenses

License IL
C 043780

Location

Practice location
1700 E 38th St
City
Marion IN
Postal code
46953-4568
Phone
(765) 674-3321

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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