Davis, William Gerald

Davis, William Gerald is an individual health care provider with primary practice located at 107 Imperial Blvd Suite 3, Hendersonville TN 37075-3479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, William Gerald can be contacted via phone (615) 824-9653.

Contact Information

Primary practice address
107 Imperial Blvd Suite 3 Hendersonville TN 37075-3479
Phone: (615) 824-9653
Fax: (615) 824-9663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD15629 Tennessee

Profile Details

NPI number 1154386035
LBN Legal business name Davis, William Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154386035 NPPES
Tennessee MEDICAID 3008124

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