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Individual
FRANK ETHERIDGE DAVIS III
Active
Individual
FRANK ETHERIDGE DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
021965
GA
2086S0102X
Surgical Critical Care Physician
Primary
021965
GA
2086S0127X
Trauma Surgery Physician
021965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000280497D
—
GA
01
—
020049997
RR MEDICARE
GA
01
—
10064174
AMERIGROUP
GA
01
—
349743
WELLCARE
GA
05
—
G21965
—
SC
Enumeration date
07/07/2006
Last updated
01/10/2018
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