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GRACE VIOLET DAVIS M.D., M.P.H.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679534945

Individual Registrant:
 GRACE VIOLET DAVIS M.D., M.P.H.
Gender: F
Sole Proprietor

Location and contact information for practice:
203 W KELLY ST  SYLVESTER, GA 31791-2021 US
Tel: 229-777-0488  Fax: 229-777-0476

Contact information for business:
203 W KELLY ST P.O. BOX 5367 SYLVESTER, GA 31791-2021 US
Tel: 229-777-0488  Fax: 229-777-0476

Registration Information:
NPI: 1679534945
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA039770

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000654475KGA05




HEALTH CARE JOBS GA - Page 1



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