| NPI | 1912379082 |
|---|---|
| Doing Business As | JEFF DAVIS FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BARRY BLOOM CEO 912-375-7781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN117135) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-06-14 |