Healthcare Provider Details

I. General information

NPI: 1174572796
Provider Name (Legal Business Name): DANIEL DAVIDSON OXLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 WESTOVER DR STE 200
COLUMBIA TN
38401-4843
US

IV. Provider business mailing address

832 WESTOVER DR STE 200
COLUMBIA TN
38401-4843
US

V. Phone/Fax

Practice location:
  • Phone: 931-380-3033
  • Fax:
Mailing address:
  • Phone: 931-380-3033
  • Fax: 931-388-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number031254
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: