Individual
DR. ALAN D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 102, FAYETTEVILLE, GA 30214-4548
(770) 460-1900
(770) 714-1214
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
030745
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
030745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000368915J
—
GA
Enumeration date
07/28/2005
Last updated
06/03/2014
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