Individual
KERRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 POPPY SEED LOOP, COLUMBUS, GA 31907-3071
(706) 321-9606
Mailing address
3010 POPPY SEED LOOP, COLUMBUS, GA 31907-3071
(706) 321-9606
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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