NPI 1679350680 · live from the CMS NPI Registry
Holly R Davis, PTA
Skilled Nursing Facility in Ardmore, TN. National Provider Identifier 1679350680, active.
NPI record
| NPI | 1679350680 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 24623 Union Hill Rd, Ardmore, TN 38449 |
| Practice phone | 931-427-2143 |
| Mailing address | 215 Thach Ln, Meridianville, AL 35759 |
| Enumerated | September 12, 2023 |
| Last updated | September 12, 2023 |
| Sole proprietor | Yes |
| Other names | Holly Williams |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 7566 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.