Individual provider · NPI-1
Kristin Watson Davis, PA-C
Dermatology · Dublin, GA
NPI number1285364109
StatusActive
Last updated in NPPESDec 7, 2022
Details
- NPI
- 1285364109
- Entity type
- Individual (NPI-1)
- Name
- Kristin Watson Davis
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jul 6, 2022
- Last updated
- Dec 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 11329 | GA | Yes |
Practice location
2400 Bellevue RdDublin, GA 31021-2885
Phone 478-275-2694
Mailing address
2400 Bellevue Rd Ste 16Dublin, GA 31021-2895
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