Davis, Tara Choate
Davis, Tara Choate is an individual health care provider with primary practice located at 5901 Peachtree Dunwoody Rd Ne Suite B-420, Atlanta GA 30328-5382. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Davis, Tara Choate can be contacted via phone (404) 252-9751.Contact Information
Primary practice address
5901 Peachtree Dunwoody Rd Ne Suite B-420
Atlanta GA 30328-5382
Phone: (404) 252-9751
Fax: (678) 990-5763
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | RN155231 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN155231 | Georgia |
Profile Details
NPI number | 1962472613 |
---|---|
LBN Legal business name | Davis, Tara Choate |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Nov 29th, 2022 - about 2 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 | 1962472613 | NPPES |
Georgia | MEDICAID | 787004190E | |
Georgia | MEDICAID | 787004190B | |
Georgia | MEDICAID | 787004190A |
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