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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760643027 | NPPES |
| Tennessee | MEDICAID | 1527666 |
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