Davis Herin, Amanda
Davis Herin, Amanda is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Davis Herin, Amanda can be contacted via phone (770) 918-3000.Contact Information
Primary practice address
1412 Milstead Ave Ne
Conyers GA 30012-3877
Phone: (770) 918-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 050152 | Georgia |
Profile Details
NPI number | 1356377154 |
---|---|
LBN Legal business name | Davis Herin, Amanda |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jul 12th, 2021 - about 4 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 | 1356377154 | NPPES |
Georgia | MEDICAID | 000919366D |
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