Individual
DAVIS MICHAEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
11 ROSE AVE, MOBILE, AL 36608-1358
(205) 441-8973
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10819
GA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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