Individual
CHRISTINA GAIL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
147 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6466
(912) 375-2009
(912) 379-0081
Mailing address
RR 2 BOX 59, NAHUNTA, GA 31553-9617
(912) 462-6060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002077
GA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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