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Individual

EVELYNE MONIQUE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4611 HOLSTON HILLS RD, KNOXVILLE, TN 37914-5007
(865) 523-8987
(865) 637-1835
Mailing address
4611 HOLSTON HILLS RD, KNOXVILLE, TN 37914-5007
(865) 523-8987
(865) 637-1835

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
020655
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100022381
PHP TNCARE
TN
01
110221350
RAILROAD MEDICARE
TN
05
30519801
TN
05
3051987
TN
05
3704598
TN
01
4007807
BLUE CROSS
TN
01
602002790
CARITEN
TN
Enumeration date
08/31/2006
Last updated
01/10/2019
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