Healthcare Provider Details

I. General information

NPI: 1740281492
Provider Name (Legal Business Name): DAV-WAY INVESTMENTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 N SECOND ST SUITE E
COCHRAN GA
31014-8857
US

IV. Provider business mailing address

123 N SECOND ST SUITE E
COCHRAN GA
31014-8857
US

V. Phone/Fax

Practice location:
  • Phone: 478-934-8888
  • Fax: 478-934-0860
Mailing address:
  • Phone: 478-934-8888
  • Fax: 478-934-0860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. G DAVID HICKS
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 478-934-8888