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Individual

JAMES RICHARD DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2409 N PATTERSON ST STE 200, VALDOSTA, GA 31602-2512
(229) 333-1711
(229) 333-1719
Mailing address
PO BOX 9, VALDOSTA, GA 31603-0009
(229) 333-1711
(229) 333-1719

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
080093
GA

Other

Enumeration date
12/09/2008
Last updated
09/13/2018
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