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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers