# DR. BRENT DAVIS STATON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508989450
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45555 | TN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 45555 | TN | — |
| 208M00000X | Hospitalist Physician | 45555 | TN | — |

## Other

- **Enumeration date:** 04/07/2007
- **Last updated:** 04/06/2017