Thompson-Davis, Andrea Denise

Thompson-Davis, Andrea Denise is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thompson-Davis, Andrea Denise can be contacted via phone (762) 408-2605.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9250 Fort Moore GA 31905-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN189675 Georgia

Profile Details

NPI number 1720594666
LBN Legal business name Thompson-Davis, Andrea Denise
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Sep 22nd, 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 1720594666 NPPES
Georgia Other F12170207 FNP CERTIFICATION

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