Individual
DALITA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(404) 785-5260
(404) 785-5243
Mailing address
329 CARLINGFORD CT SW, ATLANTA, GA 30349-1297
(404) 304-2194
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN160542
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN160542
GA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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