Individual
TIMOTHY BRANDON DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3317 GRAND WAY AVE, BATON ROUGE, LA 70810-0437
(225) 400-3542
Mailing address
3317 GRAND WAY AVE, BATON ROUGE, LA 70810-0437
(225) 400-3542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01072210A
IN
207P00000X
Emergency Medicine Physician
Primary
MD.204890
LA
Other
Enumeration date
08/12/2008
Last updated
04/30/2025
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