Individual
KAITLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(470) 249-6594
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(470) 249-6594
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN266575
GA
Other
Enumeration date
08/08/2019
Last updated
01/07/2022
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