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Individual

KAMARIA JADE IRENE HORACE-DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 474-9514
Mailing address
4105 LAKE SUMMIT CT, MCDONOUGH, GA 30253-7427
(678) 687-7042

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA004844
GA
225200000X
Physical Therapy Assistant
Primary
PTA004844
GA

Other

Enumeration date
03/06/2026
Last updated
04/20/2026
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