Individual
DR. BRENT WILLIAM DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S MAIN ST, HIAWASSEE, GA 30546-3408
(706) 896-2222
(706) 896-7872
Mailing address
PO BOX 509, HIAWASSEE, GA 30546-0509
(706) 896-2222
(706) 896-7872
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
029622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00808585D
—
GA
05
—
89063MF
—
NC
Enumeration date
05/04/2006
Last updated
01/05/2010
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