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Contact Information

TARA C DAVIS, NP
5901 PEACHTREE DUNWOODY RD NE
SUITE B-420
ATLANTA, GA30328-5382
 Phone: 404-252-9751
 Fax: 678-990-5763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TARA C DAVIS · (Female)

NPI # 1962472613
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/25/2006
Last updated 11/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN155231
  • GA Medicaid 787004190A
  • GA Medicaid 787004190B
  • GA Medicaid 787004190E
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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