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Contact Information

KATHLEEN DAVIS, NP-C
120 OAKSIDE CT SUITE H
H
CANTON, GA30068
 Phone: 678-880-8770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for KATHLEEN DAVIS · (Female)

NPI # 1750764932
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 07/07/2015
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN068065
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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