Leo Davis, M.D.
Individual provider Active NPI Otolaryngology Physician · Dahlonega, GA
NPI 1376791244 · NPPES record last updated Sep 4, 2008
Key facts
- NPI
- 1376791244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 012310 (GA)
- Practice address
- 70 Mountain Dr Ste C
Dahlonega, GA 30533-1629 - Phone
- (706) 867-0145
- Fax
- (706) 867-0148
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4989 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Health Corporation of Dahlonega, Inc | Past | Accepting new patients | |
| Allergy and ENT of Ga | Past | Accepting new patients | |
| Georgia Heart Institute LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 012310 | GA | Yes |
Addresses
Primary practice location
70 Mountain Dr Ste C
Dahlonega, GA 30533-1629
Mailing address
70 Mountain Dr Ste C
Dahlonega, GA 30533-1629
Phone (706) 867-0145
Other providers in Dahlonega, GA
- Julia Fabrycy Daniel
- Erin Marie Darsey
- Kelley Davis Dasinger
- Michael Craig Dasinger
- Joshua Davidson
- DCLC Two PC
- Carolynn Anne Desandre
- Diabetic & Therapeutic Healthcare Supplies, LLC
- Dogwood Bluff Personal Care Home
- Lindsay Fowler Dowis
All providers in Dahlonega, GA · Otolaryngology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.