Individual
MRS. TARA CHOATE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE B-420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Mailing address
5901 PEACHTREE DUNWOODY RD NE, SUITE B-420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN155231
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN155231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787004190A
—
GA
05
—
787004190B
—
GA
05
—
787004190E
—
GA
Enumeration date
01/25/2006
Last updated
11/29/2022
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