Individual
CHARLES FRANK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3320 OLD JEFFERSON RD, BLDG 700, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD, SUITE 700, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4147
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967949528B
—
GA
Enumeration date
09/20/2005
Last updated
07/21/2022
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