Individual
SAMANTHA SHANTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CNA,CMA
Contact information
Practice address
610 E 38TH ST, SAVANNAH, GA 31401-9218
(912) 656-0499
Mailing address
610 E 38TH ST, SAVANNAH, GA 31401-9218
(912) 656-0499
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CN0014177341
GA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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