Individual
MARGARET ALISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4373
(770) 533-4727
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
039033
GA
207R00000X
Internal Medicine Physician
Primary
039033
GA
208M00000X
Hospitalist Physician
039033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000661152D
—
GA
05
—
000661152E
—
GA
05
—
000661152F
—
GA
05
—
000661152G
—
GA
05
—
000661152H
—
GA
05
—
000661152M
—
GA
01
—
01357686
AMERIGROUP
GA
01
—
01357688
AMERIGROUP
GA
01
—
1811989411
UNITED HEALTHCARE
GA
01
—
325763
WELLCARE
GA
01
—
5095745
AETNA
GA
01
—
52575335
BCBS
GA
01
—
6830817
CIGNA
GA
Enumeration date
08/19/2005
Last updated
04/12/2021
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