Individual
MICHELLE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
200 S ENOTA DR NE STE 360, GAINESVILLE, GA 30501
(770) 219-4000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN198314
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN198314
GA
Other
Enumeration date
04/24/2014
Last updated
01/04/2021
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