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Individual

DR. NATHAN CARL DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-2980
(662) 772-2960
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28000
MS
207R00000X
Internal Medicine Physician
61501
TN
207R00000X
Internal Medicine Physician
E-13902
AR

Other

Enumeration date
04/27/2016
Last updated
08/08/2024
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