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Individual

MS. ELIZABETH DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH

Contact information

Practice address
460 BLUE BIRD LN, RINGGOLD, GA 30736-7353
(423) 227-9144
Mailing address
460 BLUE BIRD LN, RINGGOLD, GA 30736-7353
(423) 227-9144

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006291
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000664661B
GA
01
4129567
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/14/2006
Last updated
02/21/2017
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