Davis, Richard Lee

Davis, Richard Lee is an sole proprietor health care provider with primary practice located at 178 Cade St Suite C, Hartwell GA 30643-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davis, Richard Lee can be contacted via phone (706) 376-6081.

Contact Information

Primary practice address
178 Cade St Suite C Hartwell GA 30643-1815
Fax: (706) 376-6444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 023725 Georgia

Profile Details

NPI number 1801901541
LBN Legal business name Davis, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Aug 26th, 2010 - about 15 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 1801901541 NPPES
Georgia MEDICAID 000291772Q
Georgia MEDICAID 000291772P

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