Michael James Davidson, DO | |
1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | |
(913) 359-0019 | |
(931) 359-7381 |
Full Name | Michael James Davidson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1090 N Ellington Pkwy, Lewisburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740240902 | NPI | - | NPPES |
3130078 | Other | TN | BLUE CROSS NUMBER |
3710089 | Medicaid | TN | |
3302360 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO781 (Tennessee) | Primary |
Entity Name | Maury Regional Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
Entity Name | Maury Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861479545 PECOS PAC ID: 4688569718 Enrollment ID: O20040330001709 |
Mailing Address | Practice Location Address |
---|---|
Michael James Davidson, DO 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 359-0019 | Michael James Davidson, DO 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 Ph: (913) 359-0019 |
Charles Cantieri, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Kanthi Charan Narra, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 |