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Individual

RICHARD LEE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
178 CADE ST, SUITE C, HARTWELL, GA 30643-1815
(706) 376-6081
(706) 376-6444
Mailing address
PO BOX 463, COMMERCE, GA 30529-0009
(706) 335-9081
(706) 335-7194

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
023725
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000291772P
GA
05
000291772Q
GA
Enumeration date
08/21/2006
Last updated
08/26/2010
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