Provider Demographics
NPI:1376549469
Name:HEMMINGS, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:HEMMINGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6001 PROFESSIONAL PKWY
Mailing Address - Street 2:SUITE 2040
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5632
Mailing Address - Country:US
Mailing Address - Phone:678-838-9999
Mailing Address - Fax:678-838-9474
Practice Address - Street 1:6001 PROFESSIONAL PKWY
Practice Address - Street 2:SUITE 2040
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5632
Practice Address - Country:US
Practice Address - Phone:678-838-9999
Practice Address - Fax:678-838-9474
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA048152207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA930412OtherBCBS
GA7735186OtherCIGNA
GA08-01712OtherEVERCARE
GA323395OtherWELLCARE
GAP00242357OtherRAILROAD MEDICARE
GA000845776IMedicaid
GAG78619Medicare UPIN
GA323395OtherWELLCARE
GA08-01712OtherEVERCARE