Davis, Autumn Deese

Davis, Autumn Deese is an individual health care provider with primary practice located at 401 Dixie St , Carrollton GA 30117-3921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Autumn Deese can be contacted via phone (678) 796-0681.

Contact Information

Primary practice address
401 Dixie St Carrollton GA 30117-3921
Phone: (678) 796-0681
Fax: (770) 836-8477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1075178 Georgia

Profile Details

NPI number 1942328984
LBN Legal business name Davis, Autumn Deese
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 11th, 2014 - 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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