Individual
MRS. SHUNASIA DYSHEIKA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 985-9483
Mailing address
2727 GODBY RD APT M1, ATLANTA, GA 30349-3060
(404) 985-9483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080042
GA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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