Davis, Kelly Austin

Davis, Kelly Austin is an individual health care provider with primary practice located at 378 Marketplace Pkwy , Dawsonville GA 30534-7266. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Davis, Kelly Austin can be contacted via phone (470) 375-1995.

Contact Information

Primary practice address
378 Marketplace Pkwy Dawsonville GA 30534-7266
Fax: (470) 375-1996
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH017050 Georgia

Profile Details

NPI number 1437799079
LBN Legal business name Davis, Kelly Austin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2020
Last updated Jan 12th, 2020 - about 5 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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