Individual
JUANITA R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 727-1471
(404) 727-3236
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 727-1471
(404) 727-3236
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN075673
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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