Davis, Donica J

Davis, Donica J is an individual health care provider with primary practice located at 1336 Hwy 54 West Bldg 200 , Fayetteville GA 30214-3211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Donica J can be contacted via phone (770) 460-9777.

Contact Information

Primary practice address
1336 Hwy 54 West Bldg 200 Fayetteville GA 30214-3211
Phone: (770) 460-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1259 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7390 Georgia

Profile Details

NPI number 1447246780
LBN Legal business name Davis, Donica J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 9th, 2019 - about 7 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 1447246780 NPPES
Wisconsin MEDICAID 41924300

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