Individual
DR. SCOTT E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N KENTUCKY ST, KINGSTON, TN 37763-2638
(865) 337-9011
Mailing address
915 N KENTUCKY ST, KINGSTON, TN 37763-2638
(865) 337-9011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000024680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077801
—
TN
Enumeration date
10/18/2005
Last updated
10/30/2020
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