Individual
TONYA MARCIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(706) 820-6087
(706) 956-8171
Mailing address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(706) 820-6087
(706) 956-8171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356799688
—
GA
Enumeration date
09/23/2016
Last updated
09/23/2016
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