Individual
BRENT JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
902 WARNOCK WAY, WOODSTOCK, GA 30188-7073
(706) 340-3511
Mailing address
902 WARNOCK WAY, WOODSTOCK, GA 30188-7073
(706) 340-3511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013025
GA
Other
Enumeration date
08/02/2017
Last updated
06/13/2024
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