person
Logoi B Davis, PA
Medical Physician Assistant in Gainesville, Georgia
NPI 1558389817

Logoi B Davis is a Medical Physician Assistant based in Lilburn, GA and is specialized in Medical. Logoi B Davis practices in Gainesville, GA and has the professional credentials of PA. The NPI Number for Logoi B Davis is 1558389817 and holds a License No. 3158 (Georgia).

The current practice location address for Logoi B Davis is 715 Queen City Pkwy, Gainesville, GA and can be reached out via phone at 770-531-5115 and via fax at 770-531-5116. You can also correspond with Logoi B Davis through the mailing address at 3945 LAWRENCEVILLE HWY NW, LILBURN, GA - 30047-2817 (mailing address contact number: 678-380-8353).

Location: 715 Queen City Pkwy, Gainesville, GA, 30047-2817
person
Provider Profile Details
NPI Number
1558389817
Provider Name
Logoi B Davis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
715 Queen City Pkwy, Gainesville, GA, 30047-2817
Phone Number
770-531-5115
Fax Number
770-531-5116
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
387169911C 05 GA
387169911D 05 GA
387169911G 05 GA
387169911F 05 GA
387169911H 05 GA
387169911E 05 GA
institution
Provider Business Practice Location Address Details
Address
715 Queen City Pkwy
City
State
Zip
30501-4348
Phone Number
770-531-5115
Fax Number
770-531-5116
person
Provider Business Mailing Address Details
Address
715 Queen City Pkwy
City
State
Zip
30501-4348
Phone Number
770-531-5115
Fax Number
770-531-5116
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3158 (Georgia)
Definition
Definition to come...
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