Healthcare Provider Details

I. General information

NPI: 1952229262
Provider Name (Legal Business Name): ANNA JANE DAVIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODRUFF CIR NE
ATLANTA GA
30322-1020
US

IV. Provider business mailing address

231 PINELAND RD NW
ATLANTA GA
30342-4018
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-4018
  • Fax:
Mailing address:
  • Phone: 404-218-9918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: