Individual
GEKIYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 VETERANS MEMORIAL HWY SW, MABLETON, GA 30126-3107
(662) 303-7176
Mailing address
7232 DEERING CT, DOUGLASVILLE, GA 30134-1423
(662) 303-7176
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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