| Doctor Name: | DR. BRENT DAVIS STATON |
| NPI Number: | 1508989450 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 45555 |
| Business Practice Address: | 507 Gordonsville Hwy Suite 203 Gordonsville, TN - 385634652 |
| Business Phone Number: | 6157358008 |
| Business Fax Number: | 6157350008 |
| Mailing Address: | 507 Gordonsville Hwy, Suite 203 GORDONSVILLE |
| State: | TN |
| Postal Code: | 385634652 |
| Phone Number: | 6157358008 |
| Fax Number: | 6157350008 |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 45555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |