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
Fax: (678) 388-1399
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669631800 NPPES
Georgia MEDICAID 382184721A

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