Davis, James Ross

Davis, James Ross is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se Gainesville, Gainesville GA 30501-3722. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Davis, James Ross can be contacted via phone (770) 539-9001.

Contact Information

Primary practice address
655 Jesse Jewell Pkwy Se Gainesville Gainesville GA 30501-3722
Phone: (770) 539-9001
Fax: (770) 539-9217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000315 Georgia

Profile Details

NPI number 1356336606
LBN Legal business name Davis, James Ross
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1356336606 NPPES
Georgia Other 000315 STATE LICENSE NUMBER

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