Individual
MS. CAROLYN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
221 GORDON ST, BREMEN, GA 30110-1518
(334) 885-0754
Mailing address
PO BOX 1430, CARROLLTON, GA 30112-0027
(334) 885-0754
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN13433
GA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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