Individual
GEORGIA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001348
CT
363A00000X
Physician Assistant
007634
NY
Other
Enumeration date
12/16/2009
Last updated
07/09/2013
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