Individual
DANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
1021 CENTRAL AVE, DEMOREST, GA 30535-5252
(706) 778-3000
Mailing address
1021 CENTRAL AVE, DEMOREST, GA 30535-5252
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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