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Bobby Davis
Home Health Agency in Atlanta, Georgia
NPI 1710124789

Bobby Davis is a Home Health Agency based in Atlanta, GA. Bobby Davis practices in Atlanta, GA. The NPI Number for Bobby Davis is 1710124789 and holds a License No. 033-R-0107 (Georgia).

The current practice location address for Bobby Davis is 4937 Shadowood Pkwy Se, Atlanta, GA and can be reached out via phone at 770-627-3065 and via fax at 678-401-6161.

Location: 4937 Shadowood Pkwy Se, Atlanta, GA, 30339-2347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710124789
Provider Name
Bobby Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
4937 Shadowood Pkwy Se, Atlanta, GA, 30339-2347
Phone Number
770-627-3065
Fax Number
678-401-6161
Provider Enumeration Date
01/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000889842A 05 GA
institution
Provider Business Practice Location Address Details
Address
4937 Shadowood Pkwy Se
City
Atlanta
State
Georgia
Zip
30339-2347
Phone Number
770-627-3065
Fax Number
678-401-6161
person
Provider Business Mailing Address Details
Address
4937 Shadowood Pkwy Se
City
Atlanta
State
Georgia
Zip
30339-2347
Phone Number
770-627-3065
Fax Number
678-401-6161
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
033-R-0107 (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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