Individual
RICHARD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9666
(770) 812-5022
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 836-9666
(770) 812-5022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052161
GA
Other
Enumeration date
08/18/2006
Last updated
06/22/2010
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