Melissa Dawn Davis, MD | |
85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | |
(762) 235-3730 | |
(706) 234-9026 |
Full Name | Melissa Dawn Davis |
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Gender | Female |
Speciality | Pediatrics |
Location | 85 John Maddox Drive Connector Nw, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649499583 | NPI | - | NPPES |
995946279A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 059141 (Georgia) | Primary |
Entity Name | Harbin Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
Mailing Address | Practice Location Address |
---|---|
Melissa Dawn Davis, MD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Melissa Dawn Davis, MD 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 Ph: (762) 235-3730 |
Todd Rufus Kelley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 85 John Maddox Drive Connector Nw, Rome, GA 30165 Phone: 762-235-2990 Fax: 706-238-8031 | |
Dr. Bethany Wall Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2112 Shorter Ave Nw Ste 240, Rome, GA 30165 Phone: 706-368-8575 Fax: 706-204-9430 | |
Laura M. Dovan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd., Suite 205, Rome, GA 30165 Phone: 706-234-2324 Fax: 706-234-1491 | |
Erica Paez-zapata, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Riverbend Dr Sw Ste 210, Rome, GA 30161 Phone: 706-528-4949 Fax: 706-204-8274 | |
David Michael Dohrmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-238-8030 Fax: 706-238-8031 | |
Henaro C Sabino Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 504 Redmond Rd Nw, Rome, GA 30165 Phone: 706-235-3855 Fax: 706-290-2710 | |
Katarina Williams, CPNP-PC, BSN, RN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-232-1300 |