Raleeta Dianne Davis, MEDCCCSLP is a
Speech-language Pathologist based in St Simons Is, Georgia. Raleeta Dianne Davis is licensed to practice in Georgia (license number SLP005154) and her current practice location is
136 Marshs Edge Ln, St Simons Is, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 291-2029.
NPI number for Raleeta Dianne Davis is 1134628795 and her current mailing address is 136 Marshs Edge Ln, St Simons Is, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134628795.
Healthcare Provider's Profile
Full Name | Raleeta Dianne Davis |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 136 Marshs Edge Ln, St Simons Is, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134628795
- Provider Enumeration Date: 02/08/2018
- Last Update Date: 02/08/2018
Medical Identifiers
Medical identifiers for Raleeta Dianne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134628795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP005154 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raleeta Dianne Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raleeta Dianne Davis, MEDCCCSLP 136 Marshs Edge Ln, St Simons Is, GA 31522-8898 Ph: (912) 291-2029 | Raleeta Dianne Davis, MEDCCCSLP 136 Marshs Edge Ln, St Simons Is, GA 31522-8898 Ph: (912) 291-2029 |
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