Individual
DR. JOHN LUCIAN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 PATTERSON ST, SUITE 104, NASHVILLE, TN 37203-1562
(615) 320-3880
(615) 320-0308
Mailing address
2400 PATTERSON ST, SUITE 104, NASHVILLE, TN 37203-1562
(615) 320-3880
(615) 320-0308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888591
—
TN
Enumeration date
02/28/2006
Last updated
07/08/2007
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