Provider Demographics
NPI:1801042676
Name:DAVIES, DAVID MARSHALL
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARSHALL
Last Name:DAVIES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 STEPHENSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5828
Mailing Address - Country:US
Mailing Address - Phone:912-354-4044
Mailing Address - Fax:
Practice Address - Street 1:132 STEPHENSON AVE
Practice Address - Street 2:STE.102
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5828
Practice Address - Country:US
Practice Address - Phone:912-354-4044
Practice Address - Fax:912-354-4009
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIROO5888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor