Basic Information
| Provider Information | |||||||||
| NPI: | 1013041920 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAVIS | ||||||||
| FirstName: | TAMARA | ||||||||
| MiddleName: | KARABA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7410 TWIN BROOK DR | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374211824 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 4350 RINGGOLD RD | ||||||||
| Address2: | |||||||||
| City: | EAST RIDGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374122712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4238671978 | ||||||||
| FaxNumber: | 4238677658 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 08/14/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 3863 | TN | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.