Davila, Teresa

Davila, Teresa is an individual health care provider with primary practice located at 2122 Manchester Expy , Columbus GA 31904-6878. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Davila, Teresa can be contacted via phone (706) 320-3128.

Contact Information

Primary practice address
2122 Manchester Expy Columbus GA 31904-6878
Phone: (706) 320-3128
Fax: (706) 320-3230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN172048 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN172048 Georgia

Profile Details

NPI number 1235523044
LBN Legal business name Davila, Teresa
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2015
Last updated Jul 30th, 2015 - about 10 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 1235523044 NPPES
Alabama MEDICAID 172474
Alabama MEDICAID 003158599A

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