Individual
NANCY DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
(770) 736-2395
Mailing address
653-1 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1003
(904) 244-7388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO5470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95457
GA MEDICAL LICENSE
GA
01
—
UO5470
FLORIDA TRAINING LICENSE
FL
Enumeration date
03/24/2017
Last updated
01/28/2025
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