Individual
VIVIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 IVER PL APT 303, FAYETTEVILLE, GA 30214-4606
(678) 571-2715
Mailing address
105 IVER PL APT 303, FAYETTEVILLE, GA 30214-4606
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN293190
GA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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