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Individual

MR. JOHN L DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17985
SC
207L00000X
Anesthesiology Physician
Primary
47240
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179854
SC
Enumeration date
05/27/2006
Last updated
06/23/2011
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