Individual
YOLANDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W WIEUCA RD NE STE 210, ATLANTA, GA 30342-3254
(678) 786-1435
Mailing address
2451 CUMBERLAND PKWY SE # 3622, ATLANTA, GA 30339-6136
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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