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Kristopher Edward Davis, DO

Emergency Medicine in Augusta, GA. Individual provider (NPI-1).

NPI number1962067124
StatusActive
Last updated in NPPESOct 2, 2022

Details

NPI
1962067124
Entity type
Individual (NPI-1)
Name
Kristopher Edward Davis
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2019
Certification date
Oct 2, 2022
Last updated
Oct 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine92211GAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

950 15th St
Augusta, GA 30901-2608

Phone 706-733-0188

Mailing address

2116 Richmond Ave
Augusta, GA 30904-4749

Phone 478-461-5410

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