Organization
EXPANSIONS INC
Active
Other names
JERRY H DAVIS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY H DAVIS PHD (PRESIDENT)
(404) 892-0952
Entity
Organization
Contact information
Practice address
1447 PEACHTREE ST NE, SUITE 410, ATLANTA, GA 30309-3001
(404) 892-0952
Mailing address
1447 PEACHTREE ST NE, SUITE 410, ATLANTA, GA 30309-3001
(404) 892-0952
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000487
GA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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