Dr. Mitchell Gordon Davis, MD
Internal Medicine, Cardiovascular Disease in Gainesville, GA. Individual provider (NPI-1).
NPI number1528047149
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1528047149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitchell Gordon Davis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2006
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 035030 | GA | Yes |
Practice location
200 S Enota Dr Ne Ste 100Gainesville, GA 30501-3466
Phone 770-534-2020 · Fax 770-534-8025
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420
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