Davis, Rita-Marie

Davis, Rita-Marie is an individual health care provider with primary practice located at 1105 Burleyson Rd , Dalton GA 30720-3181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davis, Rita-Marie can be contacted via phone (706) 278-4640.

Contact Information

Primary practice address
1105 Burleyson Rd Dalton GA 30720-3181
Fax: (706) 275-6599
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN136854 Georgia

Profile Details

NPI number 1588775605
LBN Legal business name Davis, Rita-Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 19th, 2013 - about 11 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 1588775605 NPPES
Georgia MEDICAID 612318544A

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