Individual
BEAU JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
(770) 339-7544
Mailing address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
(770) 339-7544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN277433
GA
Other
Enumeration date
07/13/2021
Last updated
05/13/2024
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