Individual provider · NPI-1

Dr. Donald Anthony Davis, MD

Family Medicine · Dublin, GA

NPI number1093822694
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1093822694
Entity type
Individual (NPI-1)
Name
Dr. Donald Anthony Davis
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2006
Certification date
Aug 21, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine051308GAYes

Practice location

206 Hospital Dr Ste B
Dublin, GA 31021-2560

Phone 478-237-7855

Mailing address

Po Box 766
Swainsboro, GA 30401-0766

Phone 912-232-9700 · Fax 912-748-0270

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