Individual
PAULETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN083345
GA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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