| Michael James Davidson, DO | |
|
1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | |
| (913) 359-0019 | |
| (931) 359-7381 |
| Full Name | Michael James Davidson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1090 N Ellington Pkwy, Lewisburg, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740240902 | NPI | - | NPPES |
| 3130078 | Other | TN | BLUE CROSS NUMBER |
| 3710089 | Medicaid | TN | |
| 3302360 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO781 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Davidson, DO 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 359-0019 | Michael James Davidson, DO 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 Ph: (913) 359-0019 |
Charles Cantieri, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Elizabeth M Rodriguez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Dr. Isaac Douglass Werner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2291 Cornersville Hwy, Lewisburg, TN 37091 Phone: 931-288-8030 Fax: 931-288-8034 | |
Kanthi Charan Narra, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 |