Individual
MICHAEL D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2575 PEACHTREE PKWY, CUMMING, GA 30041-7559
(678) 679-6400
Mailing address
4955 ELROD CIR, CUMMING, GA 30041-4212
(678) 628-3816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005120
GA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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