| NPI | 1629535307 |
|---|---|
| Former Name | COURTNEY R DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10406) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111862) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-01-30 |