Individual
MRS. MITRA MANSOURI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1100 JOHNSON FERRY RD, SUITE 800, ATLANTA, GA 30342-1709
(404) 252-1137
(404) 252-6794
Mailing address
1100 JOHNSON FERRY RD, SUITE 800, ATLANTA, GA 30342-1709
(404) 252-1137
(404) 252-6794
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN112909
GA
Other
Enumeration date
01/16/2007
Last updated
02/02/2016
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