Staton, Brent Davis

Staton, Brent Davis is an sole proprietor health care provider with primary practice located at 1135 S Walnut Ave , Cookeville TN 38501-5961. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Staton, Brent Davis can be contacted via phone (931) 400-0808.

Contact Information

Primary practice address
1135 S Walnut Ave Cookeville TN 38501-5961
Phone: (931) 400-0808
Fax: (615) 735-0008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45555 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45555 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 45555 Tennessee

Profile Details

NPI number 1508989450
LBN Legal business name Staton, Brent Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2007
Last updated Apr 6th, 2017 - about 7 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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