Individual
SAMANTHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SELIG CIR, ATHENS, GA 30602-1501
(706) 542-2157
Mailing address
PO BOX 1472, ATHENS, GA 30603-1472
(706) 542-2157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004054
GA
Other
Enumeration date
10/17/2014
Last updated
08/25/2022
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