Organization
GEORGETOWN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SCOT DAVIS (OFFICE MANAGER)
(785) 341-4569
Entity
Organization
Contact information
Practice address
201 W MARKET ST, GEORGETOWN, DE 19947-1440
(302) 856-3171
(302) 856-2330
Mailing address
201 W MARKET ST, GEORGETOWN, DE 19947-1440
(785) 341-4569
(302) 856-2330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C2-0006044
DE
207Q00000X
Family Medicine Physician
Primary
C2-0006045
DE
363A00000X
Physician Assistant
C5-00000702
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001044304
—
DE
01
—
G00438
PETAN
DE
Enumeration date
02/20/2007
Last updated
09/05/2025
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