Davidson, Donald Lee

Davidson, Donald Lee is an individual health care provider with primary practice located at 620 Hillcrest Rd Nw Suite 300, Lilburn GA 30047-1709. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davidson, Donald Lee can be contacted via phone (770) 638-1577.

Contact Information

Primary practice address
620 Hillcrest Rd Nw Suite 300 Lilburn GA 30047-1709
Phone: (770) 638-1577
Fax: (770) 638-1580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1823 Georgia

Profile Details

NPI number 1629144183
LBN Legal business name Davidson, Donald Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629144183 NPPES
Georgia MEDICAID 00625776B

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