Davis, Edward R

Davis, Edward R is an individual health care provider with primary practice located at 2189 West St Ste 2 , Memphis TN 38138-3884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Davis, Edward R can be contacted via phone (901) 421-5174.

Contact Information

Primary practice address
2189 West St Ste 2 Memphis TN 38138-3884
Phone: (901) 421-5174
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17187 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17187 Tennessee

Profile Details

NPI number 1346242203
LBN Legal business name Davis, Edward R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 8th, 2023 - about 2 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 1346242203 NPPES
Tennessee MEDICAID 3068771
Tennessee MEDICAID Q003684

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