Individual
DAVINCI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5805 STATE BRIDGE RD, JOHNS CREEK, GA 30097-8220
(770) 813-7456
Mailing address
2580 TRELIPE DR, LAWRENCEVILLE, GA 30044-5576
(478) 316-0234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035763
GA
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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