Larissa Davis

NPI #1063832731 in Douglas, Georgia

Provider Information

NPI Number
1063832731
Entity Type
Individual
Name
Larissa Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 22, 2014
Last Updated
Sep 6, 2017

Practice Location

Address
200 DOCTORS DR
Address 2
STE 201
State
Georgia
ZIP Code
31533-2201
Phone
(912) 384-9460

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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