Individual
MRS. ANGELA CHRISTINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
657 HEMLOCK ST STE 220, MACON, GA 31201-8311
(478) 741-7241
(478) 745-8932
Mailing address
192 CAMDALE CT, MCDONOUGH, GA 30252-2305
(478) 777-0450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN185946
GA
363LA2100X
Acute Care Nurse Practitioner
11081
CT
Other
Enumeration date
09/25/2018
Last updated
11/03/2022
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