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Individual
CATHERINE D DAVIS
Active
Individual
CATHERINE D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA/AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000477C
—
GA
05
—
100000477E
—
GA
05
—
100000477F
—
GA
05
—
100000477G
—
GA
01
—
391018
WELLCARE
GA
01
—
580628385
TRICARE
GA
01
—
P00097133
PALMETTO GBA
GA
01
—
P00422622
RAILROAD MEDICARE
GA
Enumeration date
03/08/2006
Last updated
12/10/2014
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