Provider Demographics
NPI:1174572796
Name:OXLEY, DANIEL DAVIDSON (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DAVIDSON
Last Name:OXLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 WESTOVER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4843
Mailing Address - Country:US
Mailing Address - Phone:931-380-3033
Mailing Address - Fax:931-388-3401
Practice Address - Street 1:832 WESTOVER DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4843
Practice Address - Country:US
Practice Address - Phone:931-380-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN031254208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710089Medicaid
TN4019538OtherBCBST
TN3835315Medicaid
G53231Medicare UPIN
3710089Medicare PIN