Individual
STACY FAITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27614
TN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
27614
TN
207RC0000X
Cardiovascular Disease Physician
27614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510069
—
TN
05
—
3097373
—
TN
01
—
6012044
BCBS
TN
01
—
P01376946
RR MEDICARE
TN
Enumeration date
05/23/2005
Last updated
02/27/2025
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