Healthcare Provider Details

I. General information

NPI: 1487413605
Provider Name (Legal Business Name): DR. AUSTIN ALEXANDER DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE 230
NASHVILLE TN
37207-2522
US

IV. Provider business mailing address

3443 DICKERSON PIKE STE 230
NASHVILLE TN
37207-2522
US

V. Phone/Fax

Practice location:
  • Phone: 615-769-2159
  • Fax:
Mailing address:
  • Phone: 615-769-2159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036181772
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: