Vandeler Davis, NP-C | |
2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | |
(770) 939-1288 | |
(770) 212-2203 |
Full Name | Vandeler Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609383967 | NPI | - | NPPES |
003231143A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN183906 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN183906 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Psychology Center Llc | 0648424796 | 11 |
Entity Name | United Psychology Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063704542 PECOS PAC ID: 0648424796 Enrollment ID: O20130125000418 |
Mailing Address | Practice Location Address |
---|---|
Vandeler Davis, NP-C 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 Ph: (770) 939-1288 | Vandeler Davis, NP-C 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 Ph: (770) 939-1288 |
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