Individual
DR. VAN A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1013 N 5TH AVE NE, SUITE 3, ROME, GA 30165-2664
(706) 291-7360
(706) 291-8655
Mailing address
1013 N 5TH AVE NE, SUITE 3, ROME, GA 30165-2664
(706) 291-7360
(706) 291-8655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000941762B
—
GA
Enumeration date
03/20/2007
Last updated
10/14/2008
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