Individual
ANITA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3284 CLIFTON FARM DR, DECATUR, GA 30034-3709
(678) 683-1015
Mailing address
3284 CLIFTON FARM DR, DECATUR, GA 30034-3709
(678) 683-1015
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030030475
GA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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