Individual
MRS. DAVINA SARA BRASELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 S. ENOTA DR., GAINESVILLE, GA 30501
(770) 538-0208
(770) 538-0556
Mailing address
605 S. ENOTA DR., GAINESVILLE, GA 30501
(770) 538-0208
(770) 538-0556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0044136
GA
Other
Enumeration date
05/04/2006
Last updated
12/18/2008
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