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Dr. Dirk C Davidson, MD
Specialist in Crossville, Tennessee
NPI 1659369429

Dirk C Davidson is a Specialist based in Crossville, TN. Dirk C Davidson practices in Crossville, TN and has the professional credentials of MD. The NPI Number for Dirk C Davidson is 1659369429 and holds a License No. MD21772 (Tennessee).

The current practice location address for Dirk C Davidson is 33 W Adams St, Crossville, TN and can be reached out via phone at 931-484-7596 and via fax at 931-484-7597. You can also correspond with Dirk C Davidson through the mailing address at 33 W ADAMS ST, CROSSVILLE, TN - 38555-4836 (mailing address contact number: 931-484-7596).

Location: 33 W Adams St, Crossville, TN, 38555-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659369429
Provider Name
Dirk C Davidson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
33 W Adams St, Crossville, TN, 38555-4836
Phone Number
931-484-7596
Fax Number
931-484-7597
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3890077 05 TN
P00102649 01 TN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
33 W Adams St
City
Crossville
State
Tennessee
Zip
38555-4836
Phone Number
931-484-7596
Fax Number
931-484-7597
person
Provider Business Mailing Address Details
Address
33 W Adams St
City
Crossville
State
Tennessee
Zip
38555-4836
Phone Number
931-484-7596
Fax Number
931-484-7597
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD21772 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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