Individual
COURTNEY R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2383 PATE ST, SNELLVILLE, GA 30078-3250
(770) 972-4845
(770) 972-0358
Mailing address
2383 PATE ST, SNELLVILLE, GA 30078-3250
(770) 972-4845
(770) 972-0358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
05288
GA
363A00000X
Physician Assistant
5288
GA
Other
Enumeration date
05/04/2009
Last updated
09/23/2014
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