Davis, Tara Choate

Davis, Tara Choate is an individual health care provider with primary practice located at 5901 Peachtree Dunwoody Rd Ne Suite B-420, Atlanta GA 30328-5382. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Davis, Tara Choate can be contacted via phone (404) 252-9751.

Contact Information

Primary practice address
5901 Peachtree Dunwoody Rd Ne Suite B-420 Atlanta GA 30328-5382
Phone: (404) 252-9751
Fax: (678) 990-5763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN155231 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN155231 Georgia

Profile Details

NPI number 1962472613
LBN Legal business name Davis, Tara Choate
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 29th, 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 1962472613 NPPES
Georgia MEDICAID 787004190E
Georgia MEDICAID 787004190B
Georgia MEDICAID 787004190A

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