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Individual
DR. IAN JAMES DAVIS
Active
Individual
DR. IAN JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002413
GA
208M00000X
Hospitalist Physician
Primary
82985
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02413
RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/28/2007
Last updated
10/27/2020
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