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Contact Information

JENNA S DAVIS, MD
2680 LAWRENCEVILLE HWY STE 100
DECATUR, GA30033-2526
 Phone: 770-515-9898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JENNA S DAVIS · (Female)

NPI Number 1174904148
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2015
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 80692
  • MI License # 4301107553
Hospital affiliation(s) Not Available
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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