Individual
MRS. STACY ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SUMMER WIND PL, BROOKLET, GA 30415-6090
(912) 842-7425
Mailing address
107 SUMMER WIND PL, BROOKLET, GA 30415-6090
(912) 842-7425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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