Individual
TERESA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 320-3128
(706) 320-3230
Mailing address
PO BOX 8147, COLUMBUS, GA 31908-8147
(706) 320-3128
(706) 320-3230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN172048
GA
363LG0600X
Gerontology Nurse Practitioner
RN172048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158599A
—
GA
05
—
172474
—
AL
Enumeration date
03/19/2015
Last updated
07/30/2015
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