Davison, Wendy N
Davison, Wendy N is an individual health care provider with primary practice located at 1405 Franklin Rd Se , Marietta GA 30067-8705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Davison, Wendy N can be contacted via phone (770) 951-5400.Contact Information
Primary practice address
1405 Franklin Rd Se
Marietta GA 30067-8705
Phone: (770) 951-5400
Fax: (678) 388-1399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN140026 | Georgia |
Profile Details
NPI number | 1669631800 |
---|---|
LBN Legal business name | Davison, Wendy N |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2008 |
Last updated | Jul 1st, 2011 - about 14 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 | 1669631800 | NPPES |
Georgia | MEDICAID | 382184721A |
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