Individual
LINDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 DRESDEN DR NE, BROOKHAVEN, GA 30319-3454
(678) 547-0495
(678) 547-0496
Mailing address
5342 DELRAY DR, COLUMBUS, GA 31907-3579
(706) 562-8776
(706) 562-8776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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