Individual
CALEB DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, PTA
Contact information
Practice address
11258 FORD AVE STE 7, RICHMOND HILL, GA 31324-8880
(912) 470-8105
Mailing address
382 TIMBERLAND CIR, RICHMOND HILL, GA 31324-6398
(912) 704-5116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA004129
GA
225700000X
Massage Therapist
Primary
MT007487
GA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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