Individual
DR. DIANE WATKINS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5201 FREDERICK ST, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039
Mailing address
5201 FREDERICK ST, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000264569A
—
GA
Enumeration date
11/14/2006
Last updated
08/08/2016
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