MEDICARE: GEORGE DAVIES MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program		GA
2	207Y00000X	Otolaryngology Physician	MED-PHYS-LIC-167258	MT

General Provider Information

NPI Number	:	1043830383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE DAVIES MD

Provider Business Mailing Address
First Line	:	1388 RIVER BRIDGE CIR APT 201
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-7908
Country	:	US
Telephone Number	:	615-631-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 15TH ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30912-0004
Country	:	US
Telephone Number	:	706-721-4307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	02/16/2026

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