Individual
ANTHONY B DAVIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16 LIVE OAK CT, MOULTRIE, GA 31768
(229) 891-9148
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002208
GA
Other
Enumeration date
10/10/2006
Last updated
09/08/2025
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