Davis, Michelle Goldman

Davis, Michelle Goldman is an individual health care provider with primary practice located at 2550 Business Park Dr Ne , Cleveland TN 37311-6503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Davis, Michelle Goldman can be contacted via phone (423) 339-8881.

Contact Information

Primary practice address
2550 Business Park Dr Ne Cleveland TN 37311-6503
Phone: (423) 339-8881
Fax: (423) 464-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 363A00000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0307 Tennessee

Profile Details

NPI number 1386651214
LBN Legal business name Davis, Michelle Goldman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 17th, 2016 - about 10 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 1386651214 NPPES
Tennessee Other PA0307 PHYSICIAN ASSITANT NUMBER

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