Individual
MRS. NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(740) 603-1678
Mailing address
218 RHODES CT, SUMMERVILLE, SC 29486-2425
(740) 603-1678
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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