Davanzo, Barbara
Davanzo, Barbara is an individual health care provider with primary practice located at 143 Follins Ln , St Simons Island GA 31522-4263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Davanzo, Barbara can be contacted via phone (912) 634-7714.Contact Information
Primary practice address
143 Follins Ln
St Simons Island GA 31522-4263
Phone: (912) 634-7714
Fax: (912) 634-7734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 50150 | Georgia |
Profile Details
| NPI number | 1881876175 |
|---|---|
| LBN Legal business name | Davanzo, Barbara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2007 |
| Last updated | Nov 29th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881876175 | NPPES |
| Georgia | MEDICAID | 00923139A |
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