Bender, Lorie Davis

Bender, Lorie Davis is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw , Atlanta GA 30309-1281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Bender, Lorie Davis can be contacted via phone (404) 351-1745.

Contact Information

Primary practice address
1968 Peachtree Rd Nw Atlanta GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 005184 Georgia

Profile Details

NPI number 1952597940
LBN Legal business name Bender, Lorie Davis
Credentials PA-AA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Nov 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952597940 NPPES
Georgia MEDICAID 548553784A
Georgia Other 005184

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