Individual
MR. BRIAN D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
203 REESE ST, AMERICUS, GA 31709-3752
(229) 924-8123
Mailing address
213 GLENWOOD RD, AMERICUS, GA 31709-4705
(229) 924-2891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001055
GA
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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