DAVID LAFFERTY PA NPI 1104860048

NPI Information

NPI: 1104860048
Provider Name: DAVID LAFFERTY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 536-2146
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David Lafferty, PA is a medical physician assistant in Gainesville, GA. David Lafferty, PA NPI is 1104860048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501-715
Phone: (770) 536-2146
Fax: (770) 536-7895

The enumeration date for this NPI number is 6/14/2006 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	002357	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S43369	MEDICARE UPIN	GEORGIA
2	100001517A	MEDICAID	GEORGIA
3	100001515A	MEDICAID	GEORGIA
4	97BBHBD	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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