Individual
MR. JAMES ROSS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
655 JESSE JEWELL PKWY SE, GAINESVILLE, GAINESVILLE, GA 30501-3722
(770) 539-9001
(770) 539-9217
Mailing address
2709 LEGISLATIVE LN, BUFORD, GA 30519-8037
(770) 540-7441
(770) 539-9217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000315
STATE LICENSE NUMBER
GA
Enumeration date
09/13/2005
Last updated
07/08/2007
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