Individual
SONIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117
(708) 340-8737
(770) 834-6118
Mailing address
202 FERNDALE RD, CARROLLTON, GA 30117-4314
(404) 317-1542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN159373
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN159373
GA
163WM0102X
Maternal Newborn Registered Nurse
RN159373
GA
363L00000X
Nurse Practitioner
Primary
RN159373
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN159373
NURSING LICENESE
GA
Enumeration date
10/22/2014
Last updated
03/14/2019
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