Davis, Charles Frank
Davis, Charles Frank is an individual health care provider with primary practice located at 3320 Old Jefferson Rd Bldg 700, Athens GA 30607-1400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Charles Frank can be contacted via phone (706) 353-2990.Contact Information
Primary practice address
3320 Old Jefferson Rd Bldg 700
Athens GA 30607-1400
Phone: (706) 353-2990
Fax: (706) 353-2992
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA4147 | Georgia |
Profile Details
NPI number | 1952397564 |
---|---|
LBN Legal business name | Davis, Charles Frank |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Jul 21st, 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 | 1952397564 | NPPES |
Georgia | MEDICAID | 967949528B |
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