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Individual

ARDEINA M DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, CPS, PP

Contact information

Practice address
3780 W COUNTY LINE RD STE C, DOUGLASVILLE, GA 30135-1164
(770) 693-5274
Mailing address
2257 ASQUITH AVE SW, MARIETTA, GA 30008-6092
(912) 308-1323

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
GA

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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