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Donica J Davis, PAC

Physician Assistant in Fayetteville, GA. Individual provider (NPI-1).

NPI number1447246780
StatusActive
Last updated in NPPESDec 9, 2019

Details

NPI
1447246780
Entity type
Individual (NPI-1)
Name
Donica J Davis
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2005
Certification date
Dec 9, 2019
Last updated
Dec 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant7390GAYes
363A00000X Physician Assistant1259WI

Other names

  • Donica J Bravick (Former Name)

Practice location

1336 Hwy 54 West Bldg 200
Fayetteville, GA 30214-3211

Phone 770-460-9777

Mailing address

1930 Brannan Rd.
McDonough, GA 30253

Phone 678-284-4686

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