Stacy C. Davis Md Pc

LBN: Stacy C. Davis Md Pc
Stacy C. Davis Md Pc is an health care organization with primary practice located at 1450 Winter St , Augusta GA 30904-4708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Stacy C. Davis Md Pc can be contacted via phone (706) 364-3371, or through Hester, Regina via phone (706) 364-3371.

Contact Information

Primary practice address
1450 Winter St Augusta GA 30904-4708
Phone: (706) 364-3371
Fax: (706) 364-3380
Website:
Map and Directions
Authorized official contact:
Name: Hester, Regina
Phone: (706) 364-3371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1295008498
LBN Legal business name Stacy C. Davis Md Pc
DBA Doing business as
Authorized official Hester, Regina
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2012
Last updated Nov 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295008498 NPPES
Georgia MEDICAID 000742948 E

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