Individual
KATHY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
2114 HENDERSON MILL RD NE, ATLANTA, GA 30345-3762
(770) 934-4327
Mailing address
2114 HENDERSON MILL RD NE, ATLANTA, GA 30345-3762
(770) 934-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582103530
HMO/PPO
GA
Enumeration date
07/26/2016
Last updated
07/26/2016
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