Autumn Deese Davis in Carrollton - Physician Assistant
Autumn Deese Davis - NPI 1942328984
Autumn Deese Davis is a Physician Assistant in Carrollton, Georgia. Autumn Deese Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Autumn Deese Davis is 1942328984. The last update date is 2014-08-11.
Autumn Deese Davis's current location address is 401 Dixie St, Carrollton, Georgia. You can contact this provider via phone number 6787960681 and fax number 7708368477. The mailing address for Autumn Deese Davis is 401 Dixie St, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn Deese Davis |
|---|---|
| Address | 401 Dixie St, Carrollton, Georgia |
| Phone Number | 6787960681 |
| Fax Number | 7708368477 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1942328984 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 401 Dixie St |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301173921 |
| Phone Number | 6787960681 |
| Fax Number | 7708368477 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1075178 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Autumn Deese Davis by the Centers for Medicare & Medicaid Services?
The Autumn Deese Davis has been assigned the NPI (National Provider Identifier) 1942328984 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Autumn Deese Davis's facilities are situated?
The facilities of Autumn Deese Davis are physically located at the following address: 401 Dixie St, Carrollton, GA, 301173921.
What is Autumn Deese Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Autumn Deese Davis is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1942328984 assigned to Autumn Deese Davis?
The Autumn Deese Davis was issued its 1942328984 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Autumn Deese Davis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Autumn Deese Davis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-08-11.