Individual
DR. MICHAEL ANTHONY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2311 LAKE PARK DR, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Mailing address
2311 LAKE PARK DR, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
74278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74278
GA MEDICAL LICENSE
GA
Enumeration date
06/22/2010
Last updated
06/11/2015
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