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Individual

DR. KAREN JOHNSON DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PFC, PIC, H.C.

Contact information

Practice address
3719 MICAH CT, ELLENWOOD, GA 30294-6224
(404) 314-4737
(404) 891-8992
Mailing address
3719 MICAH CT, ELLENWOOD, GA 30294-6224
(404) 314-4737
(404) 891-8992

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
GA
171M00000X
Case Manager/Care Coordinator
GA
172V00000X
Community Health Worker
GA
174400000X
Specialist
GA
174400000X
Specialist
Primary
1744R1103X
Research Study Abstracter/Coder
GA
174N00000X
Lactation Consultant (Non-RN)
GA
175F00000X
Naturopath
GA
246Y00000X
Health Information Specialist/Technologist
GA
332900000X
Non-Pharmacy Dispensing Site
GA
332BC3200X
Customized Equipment (DME)
GA

Other

Enumeration date
08/11/2020
Last updated
02/24/2021
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