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Individual
DR. BRENT DAVIS STATON
Active
Individual
DR. BRENT DAVIS STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45555
TN
207V00000X
Obstetrics & Gynecology Physician
45555
TN
208M00000X
Hospitalist Physician
45555
TN
Other
Enumeration date
04/07/2007
Last updated
04/06/2017
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