Individual
SUSAN LOUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
142 COUNTRY MILL LN, STOCKBRIDGE, GA 30281-4553
(470) 629-3685
Mailing address
142 COUNTRY MILL LN, STOCKBRIDGE, GA 30281-4553
(470) 629-3685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
316376
GA
225700000X
Massage Therapist
015369
GA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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