Davis, Michael Anthony

Davis, Michael Anthony is an individual health care provider with primary practice located at 2311 Lake Park Dr , Albany GA 31707-3183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davis, Michael Anthony can be contacted via phone (229) 435-0525.

Contact Information

Primary practice address
2311 Lake Park Dr Albany GA 31707-3183
Fax: (229) 434-9827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 74278 Georgia

Profile Details

NPI number 1043531296
LBN Legal business name Davis, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Jun 11th, 2015 - about 9 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 1043531296 NPPES
Georgia Other 74278 GA MEDICAL LICENSE

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