Organization
ICARE & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIL DAVIS NP (OWNER & NP)
(770) 681-0196
Entity
Organization
Contact information
Practice address
7574 HIGHWAY 85, RIVERDALE, GA 30274-3447
(770) 681-0196
(770) 703-4006
Mailing address
7574 HIGHWAY 85, RIVERDALE, GA 30274-3447
(770) 681-0196
(770) 703-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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