Individual
MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 PARKER RD SE STE C210, CONYERS, GA 30094-6676
(800) 630-9547
Mailing address
1329 CEDAR PARK PL, STONE MOUNTAIN, GA 30083-1880
(770) 885-0076
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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