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Individual

MRS. AMY DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
500 MEDICAL CENTER BLVD, SUITE 365, LAWRENCEVILLE, GA 30046-8708
(770) 962-2051
(770) 962-0972
Mailing address
500 MEDICAL CENTER BLVD, SUITE 365, LAWRENCEVILLE, GA 30046-8708
(770) 962-2051
(770) 962-0972

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN150594
GA

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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