Individual
DR. ADRIENNE COLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
457 COLUMBIA INDUSTRIAL BLVD., SUITE 12, EVANS, GA 30809-6691
(706) 922-3027
(706) 364-8996
Mailing address
457 COLUMBIA INDUSTRIAL BLVD., SUITE 12, EVANS, GA 30809-6691
(706) 922-3027
(706) 364-8996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-T000825
GA
103T00000X
Psychologist
PSY003252
GA
103TC0700X
Clinical Psychologist
PSY 9475
CA
103TF0200X
Forensic Psychologist
Primary
PSY9475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649764982A
—
GA
Enumeration date
12/05/2006
Last updated
09/14/2010
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