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1578647277
TRACY DENISE DAVIS
MACON, GA
NPI
1578647277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 004461)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
-- TRACY DENISE DAVIS PA-C
688 WALNUT ST SUITE 200
MACON, GA 31201-2677
Phone number: 478-742-7566
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Mailing Address
-- TRACY DENISE DAVIS PA-C
5243 RIVERSIDE DR APT 2105
MACON, GA 31210-8803
Phone number: 478-742-7566
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