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NPI Code Detail

MEDICARE: JAMES GEORGE DAVIS CAA

MEDICARE:   JAMES GEORGE DAVIS  CAA
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
1367H00000XAnesthesiologist Assistant3093OH

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 : 1568900371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES GEORGE DAVIS CAA
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-5322
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ARLINGTON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-3556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 02/11/2026

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Directions to “ JAMES GEORGE DAVIS CAA” Practice Location

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