Individual
KATHERINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 BLUE RIDGE LN, WARNER ROBINS, GA 31088-7710
(478) 918-4288
Mailing address
124 BLUE RIDGE LN, WARNER ROBINS, GA 31088-7710
(478) 918-4288
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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