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Individual

LAURA ELIZABETH DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5019 LAVISTA RD, TUCKER, GA 30084-3541
(678) 534-0452
(678) 534-1534
Mailing address
5019 LAVISTA RD, TUCKER, GA 30084-3541
(678) 534-0452
(678) 534-1534

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028960
GA

Other

Enumeration date
06/30/2006
Last updated
11/14/2017
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