Davis, Larissa
Davis, Larissa is an sole proprietor health care provider with primary practice located at 200 Doctors Dr Ste 201, Douglas GA 31533-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Larissa can be contacted via phone (912) 384-9460.Contact Information
Primary practice address
200 Doctors Dr Ste 201
Douglas GA 31533-2201
Phone: (912) 384-9460
Fax: (912) 393-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN197160 | Georgia |
Profile Details
| NPI number | 1063832731 |
|---|---|
| LBN Legal business name | Davis, Larissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Sep 6th, 2017 - about 7 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 | 1063832731 | NPPES |
| Georgia | MEDICAID | 003145835A | |
| Georgia | Other | RN197160 |
Popular Providers
-
Brulte, Amanda
100 Doctors Dr Ste 104 , Douglas GA 31533-2211 -
Chaney, Dianna Nicole
1101 Ocilla Rd , Douglas GA 31533-2207 -
Royal, Shirlene D
1309 Ocilla Rd Ste A , Douglas GA 31533-2209 -
Bixler, Linda Michelle
200 Doctors Dr Ste 106 , Douglas GA 31533-2202 -
Mcleod, Melissa D.
306 Westside Dr , Douglas GA 31533-3530 -
Herrington, Cathy
2010 Ocilla Rd , Douglas GA 31533-2230 -
Jones, Michelle Martinez
200 Doctors Dr Ste S , Douglas GA 31533-2203 -
Courson, Jessica Lynne
903 West Ward Street Suite B, Douglas GA 31533