Individual
DR. BRADLEY JASON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1819 CLINCH AVE STE 114, KNOXVILLE, TN 37916
(865) 524-1631
(865) 541-1727
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47173
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525131
—
TN
Enumeration date
07/28/2008
Last updated
07/17/2018
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