LARISSA DAVIS

DOUGLAS, GA
NPI1063832731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN197160)
Enumeration Date2014-04-22
Last Update Date2017-09-06
Business Address
-- LARISSA DAVIS
200 DOCTORS DR STE 201
DOUGLAS, GA 31533-2201
Phone number: 912-384-9460
Mailing Address
-- LARISSA DAVIS
1100 WARD ST EXT W
DOUGLAS, GA 31534-1902
Phone number:
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