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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X94036 (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.