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Individual
KRISTEN B DAVIS
Active
Individual
KRISTEN B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN231106
GA
2080P0203X
Pediatric Critical Care Medicine Physician
RN231106
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN231106
GA
Other
Enumeration date
10/05/2018
Last updated
11/13/2024
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