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Individual

DR. EDWARD R DAVIS

Active
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Individual

DR. EDWARD R DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17187
TN
207R00000X
Internal Medicine Physician
Primary
17187
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3068771
TN
05
Q003684
TN
Enumeration date
08/11/2005
Last updated
03/08/2023
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