Individual
DR. WOODLEY BERNADETTE MARDY-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12389 CRABAPPLE RD, ALPHARETTA, GA 30004-6328
(470) 299-1998
Mailing address
12389 CRABAPPLE RD, ALPHARETTA, GA 30004-6328
(470) 299-1998
(470) 299-1898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
59463
GA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
59463
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
059463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3951183
CIGNA
GA
01
—
52207649
BLUE CROSS
GA
Enumeration date
05/24/2007
Last updated
04/12/2024
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