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Dr. Lakesha Marie Davison, MD

Pediatrics in Snellville, GA. Individual provider (NPI-1).

NPI number1154565950
StatusActive
Last updated in NPPESJan 10, 2022

Details

NPI
1154565950
Entity type
Individual (NPI-1)
Name
Dr. Lakesha Marie Davison
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2009
Last updated
Jan 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics67290GAYes
208000000X Pediatrics003953GA

Practice location

2240 Fountain Dr
Kaiser Permanente Snellville Medical Center
Snellville, GA 30078-2919

Phone 404-296-7133 · Fax 404-296-7211

Mailing address

3495 Piedmont Rd Ne
Nine Piedmont Center
Atlanta, GA 30305-1717

Phone 404-504-5678 · Fax 404-296-7211

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