Individual
BRIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1959
Mailing address
2651 POYDRAS ST APT 3211, NEW ORLEANS, LA 70119-7589
(225) 803-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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