Individual
MS. MICKEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0394
(571) 802-0546
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-6381
(571) 802-0546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN191070
GA
163WC0400X
Case Management Registered Nurse
Primary
RN191070
GA
Other
Enumeration date
09/05/2014
Last updated
02/25/2025
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