Individual
JAKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1751 N ELM ST, COMMERCE, GA 30529-2316
(706) 335-3111
Mailing address
1751 N ELM ST, COMMERCE, GA 30529-2316
(706) 335-3111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029833
GA
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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