Individual
NIKI TANYELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 WEATHERSTONE CIR SE, CONYERS, GA 30094-2021
(404) 798-9646
Mailing address
2900 WEATHERSTONE CIR SE, CONYERS, GA 30094-2021
(404) 798-9646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN085770
GA
Other
Enumeration date
08/08/2017
Last updated
05/21/2025
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