Individual
AMELIA ROSE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4586 TIMBER RIDGE DR STE 140, DOUGLASVILLE, GA 30135-7513
(678) 813-2741
Mailing address
18 PALOMINO DR, DALLAS, GA 30157-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN258181
GA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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