Davis, Roosevelt N/A

Davis, Roosevelt N/A is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Davis, Roosevelt N/A can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Phone: (404) 321-6111
Fax: (404) 327-4957
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 014377 Georgia

Profile Details

NPI number 1003844408
LBN Legal business name Davis, Roosevelt N/A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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