Davis, Frank Etheridge
Davis, Frank Etheridge is an individual health care provider with primary practice located at 4750 Waters Ave Suite 202, Savannah GA 31404-6200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Davis, Frank Etheridge can be contacted via phone (912) 350-7412.Contact Information
Primary practice address
4750 Waters Ave Suite 202
Savannah GA 31404-6200
Phone: (912) 350-7412
Fax: (912) 350-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 021965 | Georgia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 021965 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 021965 | Georgia |
Profile Details
| NPI number | 1992737050 |
|---|---|
| LBN Legal business name | Davis, Frank Etheridge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 10th, 2018 - about 6 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 | 1992737050 | NPPES |
| Georgia | Other | 020049997 | RR MEDICARE |
| Georgia | Other | 349743 | RR MEDICARE |
| Georgia | Other | 10064174 | RR MEDICARE |
| Georgia | MEDICAID | 000280497D | RR MEDICARE |
| Georgia | MEDICAID | G21965 | RR MEDICARE |
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