Davin Ray Modisette
Davin Ray Modisette is a Radiologic Technologist in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.
- Licensed in
- TN
- In the registry since
- 2015
Practice location Address checks out
23 Westhaven PlJackson, TN 38305-1758
Phone: (318) 475-0690
Fax: (731) 435-3385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiologic Technologist (primary) | Taxonomy 247100000X · Licence 487010 (TN) |
|---|
Record details
| NPI number | 1356721245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2015 |
| Last updated in NPPES | December 28, 2022 |
| Certification date | December 28, 2022 |
| Mailing address | 23 Westhaven Pl, Jackson, TN 38305-1758 |