Individual
MRS. KATHERINE EVANS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, NNP-BC
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 876-7464
Mailing address
37 HOLLAND GROVE DR, DALLAS, GA 30132-2571
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN097337
GA
Other
Enumeration date
05/19/2010
Last updated
04/11/2022
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