Individual
ANNISSIA C. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7162 LONE OAK WAY, LITHONIA, GA 30058-8291
(404) 248-0415
(404) 248-0422
Mailing address
7162 LONE OAK WAY, LITHONIA, GA 30058-8291
(404) 248-0415
(404) 248-0422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276083286A
—
GA
Enumeration date
12/27/2006
Last updated
05/18/2021
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