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Individual

MS. JILL DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RDN

Contact information

Practice address
3013 MCCALL BLVD, STATESBORO, GA 30461-4922
(912) 871-5000
Mailing address
106 BRIARWOOD RD, STATESBORO, GA 30458-2459
(912) 871-5000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
933665
GA
363AM0700X
Medical Physician Assistant
Primary
11817
GA

Other

Enumeration date
09/20/2006
Last updated
10/17/2024
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