Davis, Alan D

Davis, Alan D is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 102, Fayetteville GA 30214-4548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Davis, Alan D can be contacted via phone (770) 460-1900.

Contact Information

Primary practice address
1265 Highway 54 W Suite 102 Fayetteville GA 30214-4548
Phone: (770) 460-1900
Fax: (770) 714-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 030745 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 030745 Georgia

Profile Details

NPI number 1831199207
LBN Legal business name Davis, Alan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 3rd, 2014 - about 12 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 1831199207 NPPES
Georgia MEDICAID 000368915J

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