Individual
DR. JODI MICHELLE COX DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
215 CONSTITUTION AVE, THOMASVILLE, GA 31757
(229) 226-2386
Mailing address
748 TURNING LEAF CIR, AUGUSTA, GA 30909-6068
(229) 221-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015281
GA
1223P0221X
Pediatric Dentistry
DN015281
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
05/17/2018
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