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Individual

MR. TIMOTHY ROBERT DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRT

Contact information

Practice address
3765 TEDS CV, SNELLVILLE, GA 30039-8432
(404) 468-8370
(678) 348-7574
Mailing address
3765 TEDS CV, SNELLVILLE, GA 30039-8432
(404) 468-8370
(678) 348-7574

Taxonomy

Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
005147
GA

Other

Enumeration date
05/31/2005
Last updated
07/08/2007
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