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Contact Information

MARK DAVIDSON, MD
743 SPRING ST NE
GAINESVILLE, GA30501-3715
 Phone: 770-532-7179
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MARK DAVIDSON · (Male)

NPI # 1215159025
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 26145
  • GA License # 059142
  • GA Medicaid 233277608A
  • GA Medicaid 233277608B
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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