Mr Edwin Faine Davis Jr, DC | |
391 S 1st St, Jesup, GA 31545-1132 | |
(912) 427-8433 | |
(912) 427-9851 |
Full Name | Mr Edwin Faine Davis Jr |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 31 Years |
Location | 391 S 1st St, Jesup, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083714497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 005134 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Health Care Center | 3072407808 | 3 |
Provider Name | Advanced Health Care Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891891255 PECOS PAC ID: 3072407808 Enrollment ID: O20040211001052 |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin Faine Davis Jr, DC 391 S 1st St, Jesup, GA 31545-1132 Ph: (912) 427-8433 | Mr Edwin Faine Davis Jr, DC 391 S 1st St, Jesup, GA 31545-1132 Ph: (912) 427-8433 |
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