Individual
DR. STACY C. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 WINTER ST, AUGUSTA, GA 30904-4708
(706) 364-3371
(706) 364-3380
Mailing address
1450 WINTER ST, AUGUSTA, GA 30904-4708
(706) 364-3371
(706) 364-3380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000742948E
—
GA
Enumeration date
09/01/2006
Last updated
11/01/2023
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