Individual
JEFFREY WILLIAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
966A KILLIAN HILL RD, LILBURN, GA 30047
(770) 923-4815
Mailing address
5747 LORRAINE DRIVE, STONE MOUNTAIN, GA 30087
(770) 925-0652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
GA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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