Individual
KASEY RAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0394
Mailing address
14 COHEN DR, HINESVILLE, GA 31313-2332
(575) 318-4914
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
05/20/2025
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