# MR. BARTLETT EMORY DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205058948
- **Gender:** Man
- **Credential:** PAC ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | AT00981 | GA | — |
| 363A00000X | Physician Assistant | 1574 | GA | Yes |
| 363A00000X | Physician Assistant | 209883 | AK | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01075299 | AMERIGROUP | GA |
| 05 | — | 1740483 | — | AK |
| 05 | — | 450809077B | — | GA |
| 05 | — | 450809077C | — | GA |