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Contact Information

SHELLY D DAVIS, FNP-BC
612 LOVE AVENUE
TIFTON, GA31794
 Phone: 229-391-3300
 Fax: 229-388-1948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHELLY D DAVIS · (Female)

NPI Number 1386805885
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/18/2008
Last updated 06/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN089222
  • GA Medicaid 481466728A
Hospital affiliation(s)
  • TIFT REGIONAL MEDICAL CENTER - (Acute Care)
    901 E 18TH STREET
    TIFTON, GA 31793
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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