Individual
VIRGINIA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 487-3330
Mailing address
12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 487-3330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN234817
GA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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