Individual
LESA KAREN EDWARDS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 N FRONT ST, GREENFIELD, TN 38230-4013
(731) 235-2271
(731) 235-2323
Mailing address
230 N FRONT ST, GREENFIELD, TN 38230-4013
(731) 235-2271
(731) 235-2323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019958
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046252
—
TN
01
—
BCBS3158450
BCBS
TN
Enumeration date
01/09/2007
Last updated
07/08/2007
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