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Individual

DOUGLAS STEPHEN DAVIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
822 CHICKAMAUGA AVE, ROSSVILLE, GA 30741-1407
(706) 861-6458
(706) 866-6277
Mailing address
822 CHICKAMAUGA AVE, ROSSVILLE, GA 30741-1407
(796) 861-6458
(706) 866-6277

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0069
GA

Other

Enumeration date
02/20/2020
Last updated
03/02/2020
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