Individual
WILLIAM B. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2566
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
035849
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000508989A
—
GA
01
—
290006924
RR MEDICARE
GA
05
—
G35849
—
SC
Enumeration date
08/30/2006
Last updated
11/30/2012
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