Davis, Catherine D

Davis, Catherine D is an individual health care provider with primary practice located at 624 Bellgrove Pt , Macon GA 31220-7621. 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. Davis, Catherine D can be contacted via phone (478) 731-4009.

Contact Information

Primary practice address
624 Bellgrove Pt Macon GA 31220-7621
Phone: (478) 731-4009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 002988 Georgia

Profile Details

NPI number 1306814249
LBN Legal business name Davis, Catherine D
Credentials PA/AA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 10th, 2014 - about 11 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 1306814249 NPPES
Georgia MEDICAID 100000477E
Georgia Other P00097133
Georgia MEDICAID 100000477C
Georgia MEDICAID 100000477F
Georgia MEDICAID 100000477G
Georgia Other 580628385
Georgia Other 391018
Georgia Other P00422622

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