Davidson, Randall L
Davidson, Randall L is an individual health care provider with primary practice located at 1050 N James M Campbell Blvd Ste 200 , Columbia TN 38401-2754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davidson, Randall L can be contacted via phone (931) 381-2663.Contact Information
Primary practice address
1050 N James M Campbell Blvd Ste 200
Columbia TN 38401-2754
Phone: (931) 381-2663
Fax: (931) 490-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 17146 | Tennessee |
Profile Details
| NPI number | 1073566212 |
|---|---|
| LBN Legal business name | Davidson, Randall L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 12th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073566212 | NPPES |
| Tennessee | MEDICAID | Q008160 |
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