Individual
SHIRTIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 ENTERPRISE PATH STE 206, HIRAM, GA 30141-2654
(770) 681-0517
Mailing address
79 AMBERLEE PL, DOUGLASVILLE, GA 30134-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN310372
GA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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