Individual
CASEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
105 LESLIE ST SE, ATLANTA, GA 30317-1721
(361) 771-6727
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
873044
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
RN311161
GA
Other
Enumeration date
10/07/2019
Last updated
02/14/2024
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