Dr. Karen Johnson Davis, Pfc, PIC, h.c.
Specialist in Ellenwood, GA. Individual provider (NPI-1).
NPI number1932710159
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1932710159
- Entity type
- Individual (NPI-1)
- Name
- Dr. Karen Johnson Davis
- Credential
- Pfc, PIC, h.c.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2020
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | GA | |
| 171M00000X | Case Manager/Care Coordinator | – | GA | |
| 172V00000X | Community Health Worker | – | GA | |
| 174400000X | Specialist | – | GA | |
| 1744R1103X | Specialist, Research Data Abstracter/Coder | – | GA | |
| 174N00000X | Lactation Consultant, Non-RN | – | GA | |
| 175F00000X | Naturopath | – | GA | |
| 246Y00000X | Spec/Tech, Health Info | – | GA | |
| 332900000X | Non-Pharmacy Dispensing Site | – | GA | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | GA |
Practice location
3719 Micah CtEllenwood, GA 30294-6224
Phone 404-314-4737 · Fax 404-891-8992
Mailing address
3719 Micah CtEllenwood, GA 30294-6224
Phone 404-314-4737 · Fax 404-891-8992
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