Individual provider · NPI-1

Denise Davis

Nurse's Aide · Lithonia, GA

NPI number1487432415
StatusActive
Last updated in NPPESSep 20, 2023

Details

NPI
1487432415
Entity type
Individual (NPI-1)
Name
Denise Davis
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2023
Certification date
Sep 20, 2023
Last updated
Sep 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCN0000058414GAYes

Practice location

6083 Creekford Dr
Lithonia, GA 30058-7960

Phone 678-759-9342

Mailing address

6083 Creekford Dr
Lithonia, GA 30058-7960

Phone 678-759-9342

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