Davis, Scott E

Davis, Scott E is an sole proprietor health care provider with primary practice located at 915 N Kentucky St , Kingston TN 37763-2638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Scott E can be contacted via phone (865) 337-9011.

Contact Information

Primary practice address
915 N Kentucky St Kingston TN 37763-2638
Phone: (865) 337-9011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000024680 Tennessee

Profile Details

NPI number 1467441964
LBN Legal business name Davis, Scott E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Oct 30th, 2020 - about 6 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 1467441964 NPPES
Tennessee MEDICAID 3077801

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