Individual
ANGELICA B DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., RDN, LD
Contact information
Practice address
18 CARSON CT, ADAIRSVILLE, GA 30103-3053
(334) 412-6534
Mailing address
18 CARSON CT, ADAIRSVILLE, GA 30103-3053
(334) 412-6534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005579
GA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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