Davinci Pain and Wellness LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

66370 Issued in GA

Legal business name

DAVINCI PAIN AND WELLNESS LLC

Practice address

2720 Mall of Georgia Blvd
Buford, GA 30519-8761

Phone

(111) 111-1111

Fax

(111) 111-1111

NPI assigned

Mar 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas J Freiberger, MD

Title

Member/Manager

Phone

(111) 111-1111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1750707246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MALL OF GEORGIA BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198761",
            "telephone_number": "111-111-1111",
            "fax_number": "111-111-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 MALL OF GEORGIA BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198761",
            "telephone_number": "111-111-1111",
            "fax_number": "111-111-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINCI PAIN AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "FREIBERGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "111-111-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "66370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cody Davis, PA-C
• Lauren Rebecca Davis, CCC-SLP
• Tomeki Smith Davis, LPC
• Kelly Michelle Daytonbelle, LPC
• Heather D Dean, RD, LD

• Specialist in Buford, GA
• Providers in Buford, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.