Davis, Courtney R

Davis, Courtney R is an individual health care provider with primary practice located at 2383 Pate St , Snellville GA 30078-3250. 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, Courtney R can be contacted via phone (770) 972-4845.

Contact Information

Primary practice address
2383 Pate St Snellville GA 30078-3250
Phone: (770) 972-4845
Fax: (770) 972-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5288 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 05288 Georgia

Profile Details

NPI number 1952535163
LBN Legal business name Davis, Courtney R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Sep 23rd, 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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