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
Fax: (706) 353-2992
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952397564 NPPES
Georgia MEDICAID 967949528B

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