Davidson, Pamela C
Davidson, Pamela C is an sole proprietor health care provider with primary practice located at 345 Ridge Court Excellence In Therapy , Roswell GA 30076. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davidson, Pamela C can be contacted via phone (770) 641-9239.Contact Information
Primary practice address
345 Ridge Court Excellence In Therapy
Roswell GA 30076
Phone: (770) 641-9239
Fax: (770) 641-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT002001 | Georgia |
Profile Details
| NPI number | 1134264088 |
|---|---|
| LBN Legal business name | Davidson, Pamela C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 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 | 1134264088 | NPPES |
| Georgia | MEDICAID | 000535202F |
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