Search › Georgia › 363LC0200X
Jacorey Davis
NPI 1346991767 · on the registry since 2022
Practice
- Address
- 1364 Clifton Rd Ne # R
Atlanta, GA 30322 - Phone
- (404) 712-2000
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Also registered as
- 363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia