Bridgett De'neisha Davis

NPI #1194550236 in Broxton, Georgia

Provider Information

NPI Number: 1194550236
Entity Type: Individual
Name: Bridgett De'neisha Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Sep 6, 2024
Last Updated: Sep 6, 2024

Practice Location

Address: 2862 GA HIGHWAY 268 W
City: Broxton
State: Georgia
ZIP Code: 31519-5005
Phone: (229) 457-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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