Organization
INNER BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA D DAVIS NP (PMHNP-BC)
(229) 350-6455
Entity
Organization
Contact information
Practice address
281 PIERCE CHAPEL RD, CAIRO, GA 39828-6766
(229) 350-6455
Mailing address
281 PIERCE CHAPEL RD, CAIRO, GA 39828-6766
(229) 350-6455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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