Davis, Tamika A
Davis, Tamika A is an individual health care provider with primary practice located at 812 Grassmeade Way , Snellville GA 30078-5694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Tamika A can be contacted via phone (404) 296-7133.Contact Information
Primary practice address
812 Grassmeade Way
Snellville GA 30078-5694
Phone: (404) 296-7133
Fax: (404) 296-7211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 145041 | Georgia |
Profile Details
| NPI number | 1942347372 |
|---|---|
| LBN Legal business name | Davis, Tamika A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jun 26th, 2014 - about 10 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 | 1942347372 | NPPES |
| Georgia | MEDICAID | 820705363 |
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