| Doctor Name: | TABITHA STARR DAVIDSON |
| NPI Number: | 1003089129 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 13341 |
| Business Practice Address: | 105 W Stone Dr 4c Kingsport, TN - 376603256 |
| Business Phone Number: | 4235781595 |
| Business Fax Number: | 4233926624 |
| Mailing Address: | Po Box 9, KINGSPORT |
| State: | TN |
| Postal Code: | 376620009 |
| Phone Number: | 4238572093 |
| Fax Number: | 4238572012 |
| NPI Enumeration Date: | 04/09/2008 |
| NPI Last Update Date: | 09/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 13341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |