Individual
MRS. JENNIFER LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 HUBERT PITTMAN RD, PENDERGRASS, GA 30567-2907
(706) 693-2650
Mailing address
1502 HUBERT PITTMAN RD, PENDERGRASS, GA 30567-2907
(706) 693-2650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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