| T. Albert Davis, M.D., PC | |
|
634 Peachtree Pkwy Suite 210 Cumming GA 30041-9782 | |
| (770) 888-1011 | |
| (770) 888-6766 |
| Full Name | T. Albert Davis, M.D., PC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 634 Peachtree Pkwy, Cumming, Georgia |
| Authorized Official Name and Position | Thomas Albert Davis (PRESIDENT) |
| Authorized Official Contact | 7708881011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Albert Davis, M.D., PC 1595 Peachtree Pkwy Suite 204 - #105 Cumming GA 30041-9584 Ph: (770) 888-1011 | T. Albert Davis, M.D., PC 634 Peachtree Pkwy Suite 210 Cumming GA 30041-9782 Ph: (770) 888-1011 |
| NPI Number | 1013161322 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013161322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 012079 (Georgia) | Primary |
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