Individual
KATHY DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5265
(404) 501-5266
Mailing address
2022 WESTMINSTER WAY NE, ATLANTA, GA 30307
(404) 320-5299
(404) 320-5299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000547005A
—
GA
Enumeration date
06/06/2006
Last updated
11/20/2012
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