Individual
HOLLY M. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 E CHERRY ST, JESUP, GA 31546-4666
(912) 402-8228
Mailing address
155 E CHERRY ST, JESUP, GA 31546-4666
(912) 402-8228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14062700
GA
Other
Enumeration date
09/25/2012
Last updated
01/05/2017
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