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1306623814
MICHAEL D DAVIS
CUMMING, GA
NPI
1306623814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA005120)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
MICHAEL D DAVIS PTA
2575 PEACHTREE PKWY
CUMMING, GA 30041-7559
Phone number: 678-679-6400
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Mailing Address
MICHAEL D DAVIS PTA
4955 ELROD CIR
CUMMING, GA 30041-4212
Phone number: 678-628-3816
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