CHRISTOPHER LAMAR DAVIS


Address: 3665 Cherry Ridge Blvd, Decatur, GA 30034-5011
Phone: 4043128228

CHRISTOPHER LAMAR DAVIS (NPI# 1295105773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295105773
Entity Type Individual
Full Name CHRISTOPHER LAMAR DAVIS
Credential IDC
Practice Address 3665 Cherry Ridge Blvd
Decatur
GA 30034-5011
Practice Telephone 4043128228
Mailing Telephone 4043128228
Enumeration Date 2015-09-28
Last Update Date 2015-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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1679936801 Christopher Lee Davis Specialist/Technologist 160 E Jefferson St, Scottsburg, IN 47170-1943 2016-04-04
1538527759 Christopher Davis Chiropractor 20420 W Catawba Ave, Cornelius, NC 28031-5259 2016-02-02
1689075079 Christopher K Davis Contractor 621 W Camino Tunera, Sahuarita, AZ 85629-8267 2014-09-04

Office Location

Street Address 3665 CHERRY RIDGE BLVD
City DECATUR
State GA
Zip Code 30034-5011

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NPI Name Taxonomy Address Enumeration
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1164916813 Lenina O Chi-ukpai Nurse Practitioner 2942 Secretariat Ct, Decatur, GA 30034 2018-06-17
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1033472642 Lakeba Hibbler Williams Counselor 4147 Flat Shoals Pkwy, Decatur, GA 30034 2012-06-19
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1699096172 Wanda P Garrett Social Worker 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 2010-06-18
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033639752 Ryan Charles Romer Military Health Care Provider 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 2017-06-23
1124425376 Cody Williams Military Health Care Provider 2198 Old Groveland Rd, Pembroke, GA 31321-3322 2014-12-03
1851625370 Holistic Approach Wellness Center Military Health Care Provider 5744 Austell Powder Springs Rd, Austell, GA 30106-3231 2009-09-30
1275717092 Michael Arnez Leggett Military Health Care Provider 1063 Uss Georgia Ave, Commander Submarine Group Ten, Kings Bay, GA 31558-2626 2007-12-28
1023291788 Jay D Carson Military Health Care Provider 1050 Uss Gerogia Ave, Kings Bay, GA 31547 2007-12-17
1194904847 George Gleason Sweeney IIi Military Health Care Provider 143 Laurel Marsh Way, Kingsland, GA 31548-6192 2007-10-30
1508045550 Hubert Williams Military Health Care Provider 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 2007-10-26
1568651321 Westley Michael Durnell Military Health Care Provider 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 2007-10-17
1013127497 Cory Dean Sant Military Health Care Provider Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 2007-05-23
1225156441 David Michael Holt Military Health Care Provider 341 Creekside Dr, Saint Marys, GA 31558-4485 2007-03-26
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Competitor

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City DECATUR
Zip Code 30034

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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