Individual
DR. EDWARD R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2189 WEST ST STE 2, MEMPHIS, TN 38138-3884
(901) 421-5174
Mailing address
2189 WEST ST STE 2, GERMANTOWN, TN 38138-3884
(901) 421-5174
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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