Individual
JOSEPH D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
116 PONCE DE LEON AVE NE APT 2515, ATLANTA, GA 30308-4118
(770) 855-7613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN309748
GA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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