# GEORGIA DAVIS, M.D.& ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578907960
- **Authorized official:** DR. GEORGIA ANN DAVIS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (217) 787-9540

## Contact information

- **Practice address:** 14 REDGATE CT, SILVER SPRING, MD 20905-5726
- **Practice address phone:** (217) 787-9540
- **Mailing address:** 1112 RICKARD RD, SUITE B, SPRINGFIELD, IL 62704-1017
- **Mailing address phone:** (217) 787-9540
- **Mailing address fax:** (217) 787-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 036078693 | IL | Yes |
| 2084P0005X | Neurodevelopmental Disabilities Physician | 036078693 | IL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 036078693 | IL | — |

## Other

- **Enumeration date:** 04/29/2013
- **Last updated:** 04/29/2013