Davis, Gordon Bruce

Davis, Gordon Bruce is an individual health care provider with primary practice located at 740 Cool Springs Blvd Suite 140, Franklin TN 37067-6448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davis, Gordon Bruce can be contacted via phone (615) 778-1840.

Contact Information

Primary practice address
740 Cool Springs Blvd Suite 140 Franklin TN 37067-6448
Phone: (615) 778-1840
Fax: (615) 778-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 40174 Tennessee

Profile Details

NPI number 1578528154
LBN Legal business name Davis, Gordon Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 3rd, 2013 - about 12 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 1578528154 NPPES
Tennessee MEDICAID 5440605

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