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Individual

DR. PATRICIA C DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 851-6323
(404) 303-3747
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7794

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
019928
GA
2085R0202X
Diagnostic Radiology Physician
Primary
019928
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000244054AB
GA
05
000244054C
GA
01
202G708830
RAILROAD MEDICARE
GA
01
300135705
RAILROAD MEDICARE
GA
01
300135706
RAILROAD MEDICARE
GA
Enumeration date
12/09/2005
Last updated
05/03/2019
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