Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 207793 | NY |
Y | 207Q00000X | Family Doctor | MD053906 | TN |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD053906 | TN |
NPI | 1770821365 |
---|---|
Provider Name | Dr. Arthur Davies |
First Address | Louisville, CO 80027-5009 |
Second Address | Tullahoma, TN 37388-4754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2013 |
Last Update Date | 25/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G52854 | (02) | NY |