Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWYNETH DAVIS MABRY
Active Sole ProprietorGWYNETH DAVIS MABRY is a Podiatric Surgery healthcare provider located in SODDY DAISY, Tennessee. NPI 1104474972 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SODDY DAISY, TN
Registration Details
- NPI Number
- 1104474972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2019 (6.9942880348368 yrs)
- Last Updated
- Aug 26, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
9502 GLENDA LNSODDY DAISY, TN, 373793444Browse TN providers · Browse ZIP 37379
- Phone
- 4239918907
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.