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NPI Code Detail

MEDICARE: DR. DIANE WATKINS DAVIS M.D.

MEDICARE:  DR. DIANE WATKINS DAVIS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician24798GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285706309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE WATKINS DAVIS M.D.
Provider Business Mailing Address
First Line : 5201 FREDERICK ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4501
Country : US
Telephone Number : 912-351-3030
Fax Number : 912-351-3039
Provider Business Practice Location Address
First Line : 5201 FREDERICK ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4501
Country : US
Telephone Number : 912-351-3030
Fax Number : 912-351-3039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/08/2016

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Directions to “ DR. DIANE WATKINS DAVIS M.D.” Practice Location

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