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Individual
DR. ALISHA JANETTE DAVIS
Active
Individual
DR. ALISHA JANETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52078
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520788
—
SC
01
—
SCJ6985019
MEDICARE PIN
SC
Enumeration date
07/05/2018
Last updated
02/06/2024
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