Tabitha Starr Davidson in Kingsport - Family
Tabitha Starr Davidson - NPI 1003089129
Tabitha Starr Davidson is a Family in Kingsport, Tennessee. Tabitha Starr Davidson practices all healthcare services and medical treatments related to Family. The NPI Number for Tabitha Starr Davidson is 1003089129. The last update date is 2019-08-02.
Tabitha Starr Davidson's current location address is 105 W Stone Dr, Kingsport, Tennessee. You can contact this provider via phone number 4235781595 and fax number 4233926624. The mailing address for Tabitha Starr Davidson is 105 W Stone Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tabitha Starr Davidson |
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Address | 105 W Stone Dr, Kingsport, Tennessee |
Phone Number | 4235781595 |
Fax Number | 4233926624 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1003089129 |
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Provider Enumeration Date | 2008-04-09 |
Last Updated Date | 2019-08-02 |
Provider Mailing Address Detail
Address | 105 W Stone Dr |
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City | Kingsport |
State | Tennessee (TN) |
Post Code | 376603256 |
Phone Number | 4235781595 |
Fax Number | 4233926624 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 13341 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
39096741 | TN | -- | |
1447283395 | VA | -- |
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What is the unique 10-digit identifier code assigned to Tabitha Starr Davidson by the Centers for Medicare & Medicaid Services?
The Tabitha Starr Davidson has been issued the NPI (National Provider Identifier) 1003089129 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tabitha Starr Davidson located?
The Tabitha Starr Davidson is located at 105 W Stone Dr, Kingsport, TN 376603256.
What is Tabitha Starr Davidson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tabitha Starr Davidson is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Tabitha Starr Davidson receive the assignment of its 1003089129 from the Centers for Medicare & Medicaid Services?
The Tabitha Starr Davidson was issued its 1003089129 by the Centers for Medicare & Medicaid Services on 2008-04-09.
As of what date was the information regarding Tabitha Starr Davidson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tabitha Starr Davidson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-02.