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Davena Sanders
NPI 1760510432 · on the registry since 2007
Practice
- Address
- 9556 Tara Blvd
Suite 400
Jonesboro, GA 30236 - Phone
- (678) 610-1933
- Fax
- (678) 610-1633
- Organisation at this address
- Youth Development Corporation Of America
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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