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Individual

MRS. KIMBERLY ANN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTOMETRY TECH

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5696
Mailing address
492 VICTORS CT, RICHMOND HILL, GA 31324-9320
(804) 894-7315

Taxonomy

Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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