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Individual
MRS. TARA CHOATE DAVIS
Active
Individual
MRS. TARA CHOATE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN155231
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN155231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787004190A
—
GA
05
—
787004190B
—
GA
05
—
787004190E
—
GA
Enumeration date
01/25/2006
Last updated
11/29/2022
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