Individual provider · Type 1 NPI
Brea Nicole Davidson
General Practice Physician · Atlanta, GA
NPI number
1194305151
Active
Practice location
720 Westview Dr SW
Atlanta, GA 30310-1458
Mailing address
4859 Stonehall Pl
Atlanta, GA 30339-1511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 94036 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1194305151
Brea Nicole Davidson's National Provider Identifier is 1194305151, issued on Apr 13, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 19, 2023.