Individual
KABIRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 N SPRINGS CT, MACON, GA 31210-1559
(478) 318-7312
Mailing address
120 N SPRINGS CT, MACON, GA 31210-1559
(478) 318-7312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
841463
CA
163W00000X
Registered Nurse
Primary
RN165396
GA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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