Organization
TAI DAVIS MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TNESHEIA DAVIS (OWNER)
(404) 482-5503
Entity
Organization
Contact information
Practice address
2451 CUMBERLAND PKWY SE STE 447, ATLANTA, GA 30339-6136
(404) 482-5503
Mailing address
2451 CUMBERLAND PKWY SE STE 447, ATLANTA, GA 30339-6136
(404) 482-5503
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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