Davis, Mitchell Gordon
Davis, Mitchell Gordon is an individual health care provider with primary practice located at 200 S Enota Dr Ne Ste 100 , Gainesville GA 30501-3466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, Mitchell Gordon can be contacted via phone (770) 534-2020.Contact Information
Primary practice address
200 S Enota Dr Ne Ste 100
Gainesville GA 30501-3466
Phone: (770) 534-2020
Fax: (770) 534-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 035030 | Georgia |
Profile Details
| NPI number | 1528047149 |
|---|---|
| LBN Legal business name | Davis, Mitchell Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528047149 | NPPES |
| Georgia | MEDICAID | 000480873 |
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