Active NPIIndividual providerSole proprietor

Patrick Davidson, PA-C

Physician Assistant, Medical in Saint Marys, Georgia

NPI Number1063601839
Practice location
314 Millers Branch Dr, Saint Marys, GA 31558-4164
Fax
—
Last updated
November 28, 2018

Patrick Davidson is a Physician Assistant, Medical based in Saint Marys, GA. Patrick Davidson practices in Saint Marys, GA and has the professional credentials of PA-C. The NPI Number for Patrick Davidson is 1063601839 and holds a License No. 2389 (MA). The current practice location address for Patrick Davidson is 314 Millers Branch Dr, Saint Marys, GA 31558-4164 and can be reached out via phone at 774-413-0331.

Provider Profile Details

NPI Number
1063601839
Provider Name
Patrick Davidson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
314 Millers Branch Dr, Saint Marys, GA 31558-4164
Phone Number
774-413-0331
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2007
Last Update Date
November 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
314 Millers Branch Dr
Saint Marys, GA 31558-4164
State
Georgia
Zip
31558-4164
Phone Number
774-413-0331
Saint Marys, GA 31558Get directions →

Provider Business Mailing Address Details

Address
314 Millers Branch Dr
Saint Marys, GA 31558-4164
City
Saint Marys
State
GA
Zip
31558-4164
Phone Number
774-413-0331

License Information

License Number (1)
2389
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
2389
License State (2)
MA
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
6112
License State (3)
GA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patrick Davidson, PA-C?

The NPI number of Patrick Davidson, PA-C is 1063601839. It was assigned on October 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Patrick Davidson, PA-C?

Patrick Davidson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 2389.

Where does Patrick Davidson, PA-C practice?

The practice location is 314 Millers Branch Dr, Saint Marys, GA 31558-4164. The office can be reached at 774-413-0331 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063601839 directly on the NPPES registry website.

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