Individual
TAMARA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(229) 349-5996
Mailing address
2622 E DOUBLEGATE DR, ALBANY, GA 31721-9253
(229) 349-5996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
155085
GA
Other
Enumeration date
02/05/2015
Last updated
09/22/2020
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