Davis, Michael G

Davis, Michael G is an individual health care provider with primary practice located at 1000 East Third St. Suite 302, Chattanooga TN 37403. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Davis, Michael G can be contacted via phone (423) 664-5164.

Contact Information

Primary practice address
1000 East Third St. Suite 302 Chattanooga TN 37403
Phone: (423) 664-5164
Fax: (423) 664-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47966 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29892 Alabama
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 47966 Tennessee

Profile Details

NPI number 1760643027
LBN Legal business name Davis, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jul 31st, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760643027 NPPES
Tennessee MEDICAID 1527666

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