Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152-7744
(770) 218-2300
Mailing address
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152-7744
(770) 218-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007663
GA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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