Individual
MS. LAURA LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1640 POWERS FERRY ROAD, SUITE 100, BUILDING 9, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Mailing address
1209 NECK RD, PONTE VEDRA BEACH, FL 32082-4113
(678) 267-4758
(770) 953-0031
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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