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Individual

PATRICK DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
314 MILLERS BRANCH DR, SAINT MARYS, GA 31558-4164
(774) 413-0331
Mailing address
314 MILLERS BRANCH DR, SAINT MARYS, GA 31558-4164
(774) 413-0331

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2389
MA
363AM0700X
Medical Physician Assistant
Primary
6112
GA
363AS0400X
Surgical Physician Assistant
2389
MA

Other

Enumeration date
10/17/2007
Last updated
11/28/2018
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