Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 OAK TRL, HAMPTON, GA 30228-2793
(678) 855-4620
Mailing address
545 OAK TRL, HAMPTON, GA 30228-2793
(678) 855-4620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN310748
GA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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