Davis, Eleanor Sharon

Davis, Eleanor Sharon is an sole proprietor health care provider with primary practice located at 2701 Meredyth Dr , Albany GA 31707-2267. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davis, Eleanor Sharon can be contacted via phone (229) 883-7010.

Contact Information

Primary practice address
2701 Meredyth Dr Albany GA 31707-2267
Phone: (229) 883-7010
Fax: (229) 430-9220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R076668 Georgia

Profile Details

NPI number 1700879244
LBN Legal business name Davis, Eleanor Sharon
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Dec 20th, 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 1700879244 NPPES
Georgia MEDICAID 618956236A

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