Doctor Name: | GEORGE EDWIN DAVIS |
NPI Number: | 1013005925 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | NM88-19 |
Business Practice Address: | 5312 Jaguar Dr Santa Fe, NM - 875071827 |
Business Phone Number: | 5058200262 |
Business Fax Number: | 5058209220 |
Mailing Address: | 3005 Santa Clara Ave Se, ALBUQUERQUE |
State: | NM |
Postal Code: | 871062349 |
Phone Number: | 5058200262 |
Fax Number: | 5058209220 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | NM88-19 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |