Individual
MEGHANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1005 VIRGINIA AVE, ATLANTA, GA 30354-1326
(404) 762-1001
Mailing address
2954 GATEWAY AVE, MACON, GA 31211-2660
(478) 733-6426
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA0002771
GA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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