Individual
KELLY AUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
378 MARKETPLACE PKWY, DAWSONVILLE, GA 30534-7266
(470) 375-1995
(470) 375-1996
Mailing address
378 MARKETPLACE PKWY, DAWSONVILLE, GA 30534-7266
(470) 375-1995
(470) 375-1996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017050
GA
Other
Enumeration date
01/12/2020
Last updated
01/12/2020
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