Davis Ison

NPI #1881177731 in Lake Park, Georgia

Provider Information

NPI Number: 1881177731
Entity Type: Individual
Name: Davis Ison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 5980 SEVILLE DR
City: Lake Park
State: Georgia
ZIP Code: 31636-4934
Phone: (229) 251-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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