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Individual

MATTHEW DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Mailing address
PO BOX 459, COLBERT, GA 30628-0459

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069571
GA

Other

Enumeration date
05/24/2013
Last updated
05/24/2013
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