Individual
PONCHITTA RIDLEY-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2282 PRYOR RD SW, ATLANTA, GA 30315-6410
(770) 873-8421
(404) 763-2250
Mailing address
PO BOX 150464, ATLANTA, GA 30315-0187
(770) 873-8421
(404) 763-2250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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