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Individual

MR. MICHAEL LAMAR DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.A.

Contact information

Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-1207
Mailing address
4700 WATERS AVE DEPT OF, SAVANNAH, GA 31404-6220
(912) 350-8977
(912) 350-7036

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1947
GA
367H00000X
Anesthesiologist Assistant
Primary
5668
GA

Other

Enumeration date
10/06/2009
Last updated
12/22/2022
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