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Individual

VICTOR LINELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 PETEYWOOD DR, AUSTELL, GA 30106-8505
(678) 698-1051
Mailing address
701 PETEYWOOD DR, AUSTELL, GA 30106-8505
(678) 698-1051

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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Product
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  • Eligibility checks
  • EDI platform