Individual
JAMIL EMAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
7574 HIGHWAY 85, RIVERDALE, GA 30274-3447
(770) 217-5168
(770) 284-6612
Mailing address
7574 HIGHWAY 85, RIVERDALE, GA 30274-3447
(229) 395-8243
(770) 284-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
188113
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN188113
GA
Other
Enumeration date
02/14/2013
Last updated
08/26/2019
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