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Contact Information

DOUGLAS S DAVIS JR
822 CHICKAMAUGA AVE
ROSSVILLE, GA30741-1407
 Phone: 706-861-6458
 Fax: 706-866-6277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DOUGLAS S DAVIS JR · (Male)

NPI Number 1356974018
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2020
Last updated 03/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 0069
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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