Kathleen Davis
Physician Assistant in Chamblee, GA. Individual provider (NPI-1).
NPI number1982244364
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1982244364
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9595 | GA | Yes |
Practice location
3182 Shallowford Rd NeChamblee, GA 30341-3640
Phone 770-457-5758
Mailing address
3182 Shallowford Rd NeChamblee, GA 30341-3640
Phone 770-457-5758
Other practice locations
1942 Beaver Ruin Rd
Norcross, GA 30071-3828
Norcross, GA 30071-3828
Phone 770-674-0501
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