| Dalton Lee Davis, | |
|
283 Stanley Cemetery Rd, Dublin, GA 31021-0628 | |
| (478) 279-3489 | |
| Not Available |
| Full Name | Dalton Lee Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 283 Stanley Cemetery Rd, Dublin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689423220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton Lee Davis, 283 Stanley Cemetery Rd, Dublin, GA 31021-0628 Ph: (478) 279-3489 | Dalton Lee Davis, 283 Stanley Cemetery Rd, Dublin, GA 31021-0628 Ph: (478) 279-3489 |
Madison Paige Tanner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 341 Champion Dr, Dublin, GA 31021 Phone: 478-278-2415 |
Andrew Slater, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-7202 Fax: 877-830-0941 |
Phillip Boatright Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Industrial Blvd, Dublin, GA 31021 Phone: 800-827-6523 Fax: 126-445-2609 |
Kelly W Toler, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd, 16 Erin Ofc Park, Dublin, GA 31021 Phone: 478-275-2694 |
Lauryn Ashleigh Metzdorf, ATC, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 213 Penn Ave, Dublin, GA 31021 Phone: 478-290-6504 |
Henry A Manning, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd, 16 Erin Ofc Park, Dublin, GA 31021 Phone: 478-275-7546 |
Mr. Brandon Nicholas Rowland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Fairview Park Drive, Dublin, GA 31021 Phone: 478-272-6150 Fax: 478-272-4903 |