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Individual

RITA-MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(706) 278-4640
(706) 275-6599
Mailing address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(706) 278-4640
(706) 275-6599

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN136854
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
612318544A
GA
Enumeration date
08/31/2006
Last updated
02/19/2013
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