Davis, Vandeler

Davis, Vandeler is an individual health care provider with primary practice located at 2900 Chamblee Tucker Rd Bldg 16 , Atlanta GA 30341-4148. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davis, Vandeler can be contacted via phone (770) 939-1288.

Contact Information

Primary practice address
2900 Chamblee Tucker Rd Bldg 16 Atlanta GA 30341-4148
Phone: (770) 939-1288
Fax: (770) 212-2203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN183906 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN183906 Georgia

Profile Details

NPI number 1609383967
LBN Legal business name Davis, Vandeler
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Dec 15th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609383967 NPPES
Georgia MEDICAID 003231143A

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