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Organization

MID-TENNESSEE BONE & JOINT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL L DAVIDSON M.D. (PRESIDENT)
(931) 381-2663
Entity
Organization

Contact information

Practice address
1050 N JAMES CAMPBELL BLVD, SUITE 200, COLUMBIA, TN 38401-2754
(931) 381-2663
(931) 840-0234
Mailing address
1050 N JAMES CAMPBELL BLVD, SUITE 200, COLUMBIA, TN 38401-2754
(931) 381-2663
(931) 840-0234

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
05/08/2006
Last updated
01/26/2018
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