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Individual

SHARHONDA LAJOYCE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2055 RESERVE LN, AUGUSTA, GA 30907-6214
(706) 437-5919
(706) 737-7256
Mailing address
2055 RESERVE LN, AUGUSTA, GA 30907-6214
(706) 437-5919
(706) 737-7256

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
055125505
GA

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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