Individual
ALICIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
195 MILES ST, ATHENS, GA 30601-1820
(706) 542-9700
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN062649
GA
363LF0000X
Family Nurse Practitioner
Primary
RN250456
GA
Other
Enumeration date
04/01/2010
Last updated
06/04/2025
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