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Individual
EMILIE THORNHILL DAVIS
Active
Individual
EMILIE THORNHILL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006441
GA
363A00000X
Physician Assistant
Primary
PA200671
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01532074
—
MS
05
—
2356127
—
LA
Enumeration date
05/07/2012
Last updated
09/14/2018
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