Individual
DR. LISHA BUTLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2712 N DECATUR RD, DECATUR, GA 30033-5910
(404) 659-5909
(770) 399-9449
Mailing address
2712 N DECATUR RD, DECATUR, GA 30033-5910
(404) 659-5909
(770) 399-9449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1883
GA
Other
Enumeration date
08/07/2009
Last updated
08/10/2020
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