Individual
ERIKA RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1171 WHITLOCK AVE SW, MARIETTA, GA 30064-1932
(484) 643-2169
Mailing address
1739 BROOKSTONE LN NW, ACWORTH, GA 30101-4560
(484) 643-2169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003334
GA
2255A2300X
Athletic Trainer
RTO000181
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000013683
NATABOC
—
Enumeration date
07/21/2014
Last updated
12/19/2018
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