Provider Demographics
NPI:1518994847
Name:DAVIS, JANALEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANALEE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANALEE
Other - Middle Name:DAVIS
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11 SUNDEW RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2955
Mailing Address - Country:US
Mailing Address - Phone:912-598-7796
Mailing Address - Fax:912-598-8452
Practice Address - Street 1:11 SUNDEW RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2955
Practice Address - Country:US
Practice Address - Phone:912-598-7796
Practice Address - Fax:912-598-8452
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041515207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000733378BMedicaid
F15710Medicare UPIN
GA000733378BMedicaid
P00361769Medicare PIN