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General NPI Number Information
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NPI Number | 1578510418
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Entity Type | Individual
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Provider Name | JOHN L DAVIDSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 110 29TH AVE N STE 202
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City | NASHVILLE
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State | TN
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Zip | 37203-1448
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Country | US
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Telephone | 615-327-4304
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Fax | 615-327-7940
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Provider Business Mailing Address
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Address Line | 110 29TH AVE N STE 202
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City | NASHVILLE
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State | TN
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Zip | 37203-1448
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Country | US
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Telephone | 615-327-4304
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Fax | 615-327-7940
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 17985
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 47240
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License Number State | TN
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