Individual
DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, OFFICE 4A-28, FORT GORDON, GA 30905
(706) 787-0433
(706) 787-0005
Mailing address
NAVAL AIR STATION, BERMUDA, APO, AE 02469
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN208404
GA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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