Individual
VIVIAN L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1534 DAWSON RD, ALBANY, GA 31707
(229) 435-9008
(229) 435-9080
Mailing address
1534 DAWSON RD, ALBANY, GA 31707
(229) 435-9008
(229) 435-9080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
28341600 NATL CERTIF
GA
225700000X
Massage Therapist
MA10936
FL
225700000X
Massage Therapist
Primary
MT000009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669503199
ORGANIZATION NPI
GA
Enumeration date
05/17/2007
Last updated
07/08/2007
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