Individual
MITZIE-ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1279 HIGHWAY 54 W, SUITE 100, FAYETTEVILLE, GA 30214-4550
(770) 719-5710
(678) 817-4360
Mailing address
1279 HIGHWAY 54 W, SUITE 100, FAYETTEVILLE, GA 30214-4550
(770) 719-5710
(678) 817-4360
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
075326
GA
Other
Enumeration date
08/22/2007
Last updated
08/22/2016
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