Provider Demographics
NPI:1942287453
Name:DENMAN, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DENMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4700 BATTLEFIELD PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5166
Mailing Address - Country:US
Mailing Address - Phone:706-861-4990
Mailing Address - Fax:706-861-9405
Practice Address - Street 1:4700 BATTLEFIELD PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5166
Practice Address - Country:US
Practice Address - Phone:706-861-4990
Practice Address - Fax:706-861-9405
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA46538207Q00000X
TN27286208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00871945DMedicaid
GA00871945EMedicaid
GA08BBWXPMedicare ID - Type Unspecified
TN3844492Medicare ID - Type Unspecified