Autumn Tierra Davis, LDO

NPI #1851131130 in Valdosta, Georgia

Provider Information

NPI Number
1851131130
Entity Type
Individual
Name
Autumn Tierra Davis, LDO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
LDO
Enumeration Date
May 25, 2024
Last Updated
May 25, 2024

Practice Location

Address
450 NORMAN DR
State
Georgia
ZIP Code
31601-7708
Phone
(229) 244-9118

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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