Individual
DR. LISA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W WIEUCA RD NE, BUILDING 2 SUITE 210, ATLANTA, GA 30342-3352
(404) 252-4220
Mailing address
300 W WIEUCA RD NE, BUILDING 2 SUITE 210, ATLANTA, GA 30342-3352
(404) 252-4220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012325
GA
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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