Individual
MRS. MICHELLE LEA DAVIS-WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1670 CLAIRMONT RD, MAIL CODE 111, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2211
Mailing address
1670 CLAIRMONT RD, MAIL CODE 111, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003224
GA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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