Individual
SHELLEY CARTER DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N DECATUR RD, STE 300, DECATUR, GA 30033-5949
(404) 296-3111
(404) 297-7340
Mailing address
2801 N DECATUR RD, STE 300, DECATUR, GA 30033-5949
(404) 296-3111
(404) 297-7340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010522
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055003002A
—
GA
Enumeration date
07/28/2005
Last updated
11/15/2011
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