Individual
KATELYN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 WASHINTON ROAD, AUGUSTA, GA 30909
(706) 733-4277
Mailing address
2926 VALLEY CT NE, CONYERS, GA 30012-2239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH034160
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
03/06/2023
Last updated
04/13/2023
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