Barbara Davanzo, M.D., P.C.

LBN: Barbara Davanzo, M.D., P.C.
Barbara Davanzo, M.D., P.C. is an health care organization with primary practice located at 143 Follins Ln , Saint Simons Island GA 31522-4263. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Barbara Davanzo, M.D., P.C. can be contacted via phone (912) 634-7714, or through Davanzo, Barbara Elaine via phone (912) 634-7714.

Contact Information

Primary practice address
143 Follins Ln Saint Simons Island GA 31522-4263
Phone: (912) 634-7714
Fax: (912) 634-7734
Website:
Map and Directions
Authorized official contact:
Name: Davanzo, Barbara Elaine Doctor of Medicine (MD)
Phone: (912) 634-7714

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 050150 Georgia

Profile Details

NPI number 1164403234
LBN Legal business name Barbara Davanzo, M.D., P.C.
DBA Doing business as
Authorized official Davanzo, Barbara Elaine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

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 1164403234 NPPES
Georgia MEDICAID 000923139A

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