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NPI Code Detail

MEDICARE: ANASTASIA DAVIDSON PAAA

MEDICARE:   ANASTASIA  DAVIDSON  PAAA
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 Assistant6441GA

General Provider Information

NPI Number : 1902203508
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA DAVIDSON PAAA
Provider Business Mailing Address
First Line : PO BOX 102163
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2163
Country : US
Telephone Number : 706-543-3449
Fax Number : 706-543-5744
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 530
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5005
Country : US
Telephone Number : 706-543-3449
Fax Number : 706-543-5744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2014
Last Update Date : 10/09/2018

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Directions to “ ANASTASIA DAVIDSON PAAA” Practice Location

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