Individual
QUENTIN TREMAIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2907 WINTERWOOD AVE, ALBANY, GA 31721-4521
(229) 309-9487
Mailing address
2907 WINTERWOOD AVE, ALBANY, GA 31721-4521
(229) 309-9487
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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