Davis, Randal L
Davis, Randal L is an sole proprietor health care provider with primary practice located at 102 S. Charles G. Seviers Blvd , Clinton TN 37716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Randal L can be contacted via phone (865) 457-4702.Contact Information
Primary practice address
102 S. Charles G. Seviers Blvd
Clinton TN 37716
Phone: (865) 457-4702
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 39923 | Tennessee |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39923 | Tennessee |
Profile Details
NPI number | 1134158702 |
---|---|
LBN Legal business name | Davis, Randal L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jan 5th, 2010 - about 15 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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