Individual
LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-5631
(770) 502-2175
Mailing address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-5631
(770) 502-2175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7615
GA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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