Provider Demographics
NPI:1700597945
Name:BILLINGSLEY, DAVID CARTER (PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CARTER
Last Name:BILLINGSLEY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:176 GATONE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4938
Mailing Address - Country:US
Mailing Address - Phone:615-752-7445
Mailing Address - Fax:
Practice Address - Street 1:200 MONTGOMERY HWY STE 125
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1840
Practice Address - Country:US
Practice Address - Phone:205-822-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical