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Individual

DR. MARTALE JERRELL DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD # MHSL116, DECATUR, GA 30033-4004
(404) 321-6111

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004407
GA

Other

Enumeration date
08/28/2020
Last updated
11/03/2020
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