Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | C10005258 | DE |
N | 207L00000X | Anesthesiologist | MA07532800 | NJ |
N | 207L00000X | Anesthesiologist | MD026618E | PA |
N | 2080P0203X | Pediatric Critical Care Doctor | C10005258 | DE |
N | 2080P0203X | Pediatric Critical Care Doctor | MA07532800 | NJ |
N | 2080P0203X | Pediatric Critical Care Doctor | MD026618E | PA |
NPI | 1053402321 |
---|---|
Provider Name | Dr. Deborah Ann Davis |
First Address | Atlanta, GA 30384-0001 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 11/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001042177 | (05) | PA |
02103877 | (05) | NY |
0441023 | (05) | MD |
1569950 | (05) | LA |
2364409 | (05) | NJ |
64017239 | (05) | KY |
806265200 | (05) | ID |
C28985 | (02) | |
Q05258 | (05) | SC |