Individual
CHARLA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2509 SMOKETREE RD, AUGUSTA, GA 30906-5976
(706) 955-7168
Mailing address
2509 SMOKETREE RD, AUGUSTA, GA 30906-5976
(706) 955-7168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
185268
GA
163W00000X
Registered Nurse
222331
SC
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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