Provider Demographics
NPI:1124822986
Name:DAVIS, DEVON AUBREY (DO)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:AUBREY
Last Name:DAVIS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NEW YORK AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5227
Mailing Address - Country:US
Mailing Address - Phone:910-354-0614
Mailing Address - Fax:
Practice Address - Street 1:200 NEW YORK AVE STE 150
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5227
Practice Address - Country:US
Practice Address - Phone:910-354-0614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program