Individual
DR. AMANDA RUTH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC,
Contact information
Practice address
5124 N HENRY BLVD, STOCKBRIDGE, GA 30281-3232
(770) 474-6680
Mailing address
5124 N HENRY BLVD, STOCKBRIDGE, GA 30281-3232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010782
GA
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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