Davis, John B

Davis, John B is an individual health care provider with primary practice located at 605 N Westover Blvd , Albany GA 31707-2188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, John B can be contacted via phone (229) 434-4200.

Contact Information

Primary practice address
605 N Westover Blvd Albany GA 31707-2188
Fax: (229) 434-4208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 026497 Georgia

Profile Details

NPI number 1639280282
LBN Legal business name Davis, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 2nd, 2016 - about 9 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 1639280282 NPPES
Georgia MEDICAID 000399044D

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