Individual
MELANIE R DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 COOLIDGE ST, SUITE 5, GREENEVILLE, TN 37743-4672
(423) 278-1842
(423) 278-1844
Mailing address
1021 COOLIDGE ST, SUITE 5, GREENEVILLE, TN 37743-4672
(423) 278-1842
(423) 278-1844
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101237859
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD37717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003719
—
TN
Enumeration date
04/26/2006
Last updated
04/24/2017
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