Davis, Logoi B

Davis, Logoi B is an individual health care provider with primary practice located at 715 Queen City Pkwy , Gainesville GA 30501-4348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Logoi B can be contacted via phone (770) 531-5115.

Contact Information

Primary practice address
715 Queen City Pkwy Gainesville GA 30501-4348
Phone: (770) 531-5115
Fax: (770) 531-5116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3158 Georgia

Profile Details

NPI number 1558389817
LBN Legal business name Davis, Logoi B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 21st, 2014 - about 12 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 1558389817 NPPES
Georgia MEDICAID 387169911C
Georgia MEDICAID 387169911D
Georgia MEDICAID 387169911G
Georgia MEDICAID 387169911F
Georgia MEDICAID 387169911H
Georgia MEDICAID 387169911E

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