Davidson, Evelyne Monique

Davidson, Evelyne Monique is an individual health care provider with primary practice located at 4611 Holston Hills Rd , Knoxville TN 37914-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Davidson, Evelyne Monique can be contacted via phone (865) 523-8987.

Contact Information

Primary practice address
4611 Holston Hills Rd Knoxville TN 37914-5007
Phone: (865) 523-8987
Fax: (865) 637-1835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 020655 Tennessee

Profile Details

NPI number 1083724017
LBN Legal business name Davidson, Evelyne Monique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083724017 NPPES
Tennessee Other 100022381 PHP TNCARE
Tennessee MEDICAID 3704598 PHP TNCARE
Tennessee Other 110221350 PHP TNCARE
Tennessee MEDICAID 3051987 PHP TNCARE
Tennessee MEDICAID 30519801 PHP TNCARE
Tennessee Other 4007807 PHP TNCARE
Tennessee Other 602002790 PHP TNCARE

Popular Providers