| Georgia Davis, M.d. And Associates L.l.c. | |
|
1331 Bedford Dr Suite 101 Melbourne FL 32940-1987 | |
| (321) 622-8114 | |
| (321) 622-4649 |
| Full Name | Georgia Davis, M.d. And Associates L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1331 Bedford Dr, Melbourne, Florida |
| Authorized Official Name and Position | Charles Joseph Mertz (BUSINESS MANAGER) |
| Authorized Official Contact | 2177879540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Davis, M.d. And Associates L.l.c. 1112 Rickard Rd Suite B Springfield IL 62704-1017 Ph: (217) 787-9540 | Georgia Davis, M.d. And Associates L.l.c. 1331 Bedford Dr Suite 101 Melbourne FL 32940-1987 Ph: (321) 622-8114 |
| NPI Number | 1285937060 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285937060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0036078693 (Illinois) | Primary |
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