Davis, Jaime

Davis, Jaime is an individual health care provider with primary practice located at 200 Doctors Dr Suite 201, Douglas GA 31533-2201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Davis, Jaime can be contacted via phone (912) 384-9460.

Contact Information

Primary practice address
200 Doctors Dr Suite 201 Douglas GA 31533-2201
Phone: (912) 384-9460
Fax: (912) 393-1239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 054807 Georgia

Profile Details

NPI number 1538135454
LBN Legal business name Davis, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 2nd, 2012 - about 13 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 1538135454 NPPES
Georgia Other GRP7930 MEDICARE GROUP ID
Georgia MEDICAID 780359959D MEDICARE GROUP ID
Georgia MEDICAID 780359959A MEDICARE GROUP ID

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