Davis, Chanty Denise

Davis, Chanty Denise is an individual health care provider with primary practice located at 165 Emery Hwy Suite 100, Macon GA 31217-3666. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Davis, Chanty Denise can be contacted via phone (478) 741-2150.

Contact Information

Primary practice address
165 Emery Hwy Suite 100 Macon GA 31217-3666
Phone: (478) 741-2150
Fax: (478) 741-2208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 050097 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 050097 Georgia

Profile Details

NPI number 1215951298
LBN Legal business name Davis, Chanty Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 13th, 2022 - about 4 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 1215951298 NPPES
Georgia MEDICAID 000911039D
Georgia MEDICAID 000911039E
Georgia MEDICAID 000911039C
Georgia Other CJ4042
Georgia Other P00408060

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