Individual
AVALEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2569 SAINT PAUL DR SW, ATLANTA, GA 30331-9221
(404) 667-5928
Mailing address
2569 SAINT PAUL DR SW, ATLANTA, GA 30331-9221
(404) 667-5928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310469
NY
363L00000X
Nurse Practitioner
AG102000075
GA
Other
Enumeration date
10/13/2020
Last updated
04/16/2024
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