Davis, Chanty Denise
Davis, Chanty Denise is an individual health care provider with primary practice located at 165 Emery Hwy Suite 100, Macon GA 31217-3666. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Davis, Chanty Denise can be contacted via phone (478) 741-2150.Contact Information
Primary practice address
165 Emery Hwy Suite 100
Macon GA 31217-3666
Phone: (478) 741-2150
Fax: (478) 741-2208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 050097 | Georgia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 050097 | Georgia |
Profile Details
| NPI number | 1215951298 |
|---|---|
| LBN Legal business name | Davis, Chanty Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 13th, 2022 - about 2 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 | 1215951298 | NPPES |
| Georgia | MEDICAID | 000911039D | |
| Georgia | MEDICAID | 000911039E | |
| Georgia | MEDICAID | 000911039C | |
| Georgia | Other | CJ4042 | |
| Georgia | Other | P00408060 |
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