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NPI Code Detail

MEDICARE: PAMELA C DAVIDSON PT

MEDICARE:   PAMELA C DAVIDSON  PT
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
1174400000XSpecialistPT002001GA

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 : 1134264088
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA C DAVIDSON PT
Provider Business Mailing Address
First Line : 345 RIDGE COURT EXCELLENCE IN THERAPY
Second Line :
City : ROSWELL
State : GA
Zip : 30076
Country : US
Telephone Number : 770-641-9239
Fax Number : 770-641-9335
Provider Business Practice Location Address
First Line : 345 RIDGE COURT EXCELLENCE IN THERAPY
Second Line :
City : ROSWELL
State : GA
Zip : 30076
Country : US
Telephone Number : 770-641-9239
Fax Number : 770-641-9335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 06/14/2026

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Directions to “ PAMELA C DAVIDSON PT” Practice Location

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