Individual
EBONI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
3881 DEERCREEK DR, POWDER SPRINGS, GA 30127-2381
(706) 871-8608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
30084
SC
363LF0000X
Family Nurse Practitioner
Primary
RN236916
GA
Other
Enumeration date
09/25/2019
Last updated
03/25/2025
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