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NPI Code Detail

MEDICARE: DANIEL DAVIDSON OXLEY MD

MEDICARE: DANIEL DAVIDSON OXLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician031254TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24019538OTHERTNBCBST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174572796
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DAVIDSON OXLEY MD
Provider Business Mailing Address
First Line : 832 WESTOVER DR STE 200
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4843
Country : US
Telephone Number : 931-380-3033
Fax Number : 931-388-3401
Provider Business Practice Location Address
First Line : 832 WESTOVER DR STE 200
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4843
Country : US
Telephone Number : 931-380-3033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/26/2024

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Directions to “ DANIEL DAVIDSON OXLEY MD” Practice Location

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