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Individual
JAMES L DAVISON
Active
Individual
JAMES L DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13113
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192681
BCBS
TN
05
—
3023194
—
TN
01
—
3110229
STONES RIVER IPA
TN
01
—
64029036
KY MEDICAID
KY
Enumeration date
07/07/2006
Last updated
02/04/2015
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