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Individual

SHARON L DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1755 KIRBY PKWY, SUITE 330, MEMPHIS, TN 38120-8300
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(800) 809-2106
(334) 386-2037

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
158993
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04027047
CAID MS
TN
01
3600046
TENNCARE
TN
01
4157076
BCBS TENN
TN
01
P00440723
RR MEDICARE
TN
Enumeration date
06/05/2007
Last updated
06/02/2008
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