Mardy-Davis, Woodley Bernadette

Mardy-Davis, Woodley Bernadette is an individual health care provider with primary practice located at 12389 Crabapple Rd , Alpharetta GA 30004-6328. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Mardy-Davis, Woodley Bernadette can be contacted via phone (470) 299-1998.

Contact Information

Primary practice address
12389 Crabapple Rd Alpharetta GA 30004-6328
Phone: (470) 299-1998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 59463 Georgia
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 59463 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 059463 Georgia

Profile Details

NPI number 1619188505
LBN Legal business name Mardy-Davis, Woodley Bernadette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Apr 12th, 2024 - about 8 months 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 1619188505 NPPES
Georgia Other 3951183 CIGNA
Georgia Other 52207649 CIGNA

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