Michael James Davidson, D.O.

NPI #1740240902 in Lewisburg, Tennessee

Provider Information

NPI Number: 1740240902
Entity Type: Individual
Name: Michael James Davidson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Mar 23, 2006
Last Updated: Nov 14, 2012

Practice Location

Address: 1090 N ELLINGTON PKWY
Address 2: SUITE 102
City: Lewisburg
State: Tennessee
ZIP Code: 37091-2227
Phone: (913) 359-0019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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