Individual
WILLETTE CHRISTINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3366
(678) 305-0760
Mailing address
612 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3366
(678) 305-0760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065258A
IN
207R00000X
Internal Medicine Physician
Primary
42040
GA
207R00000X
Internal Medicine Physician
MD25852
ME
208M00000X
Hospitalist Physician
MD25852
ME
Other
Enumeration date
11/22/2006
Last updated
03/18/2025
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