Provider Demographics
NPI:1679564793
Name:DAVIS, ROBERT CARTER (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CARTER
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1620
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2209
Mailing Address - Country:US
Mailing Address - Phone:404-885-7701
Mailing Address - Fax:404-885-7777
Practice Address - Street 1:209 HOSPITAL DR
Practice Address - Street 2:SUITE 303
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7623
Practice Address - Country:US
Practice Address - Phone:828-526-4300
Practice Address - Fax:828-526-8552
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2011-07-13
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Provider Licenses
StateLicense IDTaxonomies
GA10521207RG0100X
NC9500333207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00138751CMedicaid
NC890687I-391 RMedicaid
GA10BBBVWMedicare ID - Type Unspecified
NC890687I-391 RMedicaid
GA00138751CMedicaid