Individual
RANDAL L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 S. CHARLES G. SEVIERS BLVD, CLINTON, TN 37716
(865) 457-4702
Mailing address
731 CABOT DR, KNOXVILLE, TN 37934-4796
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39923
TN
207Q00000X
Family Medicine Physician
Primary
39923
TN
Other
Enumeration date
07/03/2006
Last updated
01/05/2010
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