Individual
MS. CARLY MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4028 HOLCOMB BRIDGE RD, STE 202, NORCROSS, GA 30092-4655
(770) 209-9826
Mailing address
4028 HOLCOMB BRIDGE RD, STE 202, NORCROSS, GA 30092-4655
(770) 209-9826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001772
GA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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