Davidson, Evan
Davidson, Evan is an individual health care provider with primary practice located at 155 Medical Way Ste A , Riverdale GA 30274-4940. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davidson, Evan can be contacted via phone (770) 991-2747.Contact Information
Primary practice address
155 Medical Way Ste A
Riverdale GA 30274-4940
Phone: (770) 991-2747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT017566 | Georgia |
Profile Details
| NPI number | 1649029356 |
|---|---|
| LBN Legal business name | Davidson, Evan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2024 |
| Last updated | Jan 22nd, 2025 - about last year |
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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