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Tisa Davis

NPI 1669228102 · on the registry since 2024

Practice

Address
283 Coral Cir
Mcdonough, GA 30253
Phone
(770) 837-1330

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-25

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