Davis, Bobby
Davis, Bobby is an sole proprietor health care provider with primary practice located at 4937 Shadowood Pkwy Se , Atlanta GA 30339-2347. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Davis, Bobby can be contacted via phone (770) 627-3065.Contact Information
Primary practice address
4937 Shadowood Pkwy Se
Atlanta GA 30339-2347
Phone: (770) 627-3065
Fax: (678) 401-6161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 033-R-0107 | Georgia |
Profile Details
| NPI number | 1710124789 |
|---|---|
| LBN Legal business name | Davis, Bobby |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2009 |
| Last updated | Jan 13th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710124789 | NPPES |
| Georgia | MEDICAID | 000889842A |
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