Mr Thomas W Davis, MD | |
147 Longleaf Dr, Blackshear, GA 31516-2715 | |
(912) 449-6243 | |
Not Available |
Full Name | Mr Thomas W Davis |
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Gender | Male |
Speciality | Family Medicine |
Location | 147 Longleaf Dr, Blackshear, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144243064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26251 (Georgia) | Primary |
Entity Name | Hospice Satilla Of Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508434408 PECOS PAC ID: 7416975677 Enrollment ID: O20210817002401 |
Mailing Address | Practice Location Address |
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Mr Thomas W Davis, MD 147 Longleaf Dr, Blackshear, GA 31516-2715 Ph: (912) 449-6243 | Mr Thomas W Davis, MD 147 Longleaf Dr, Blackshear, GA 31516-2715 Ph: (912) 449-6243 |
Ms. Susan Brickle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 | |
Jeffrey P. Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Carter Ave, Blackshear Family Practice, Blackshear, GA 31516 Phone: 912-449-4426 | |
Mr. Gordon Brent Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 | |
Mr. Donald B. Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1517 |