Individual provider · Type 1 NPI
Jill Davis, PA-C, RDN
Medical Physician Assistant · Statesboro, GA
NPI number
1316044746
Active
Practice location
3013 Mccall Blvd
Statesboro, GA 30461-4922
Mailing address
106 Briarwood Rd
Statesboro, GA 30458-2459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 11817 (GA) |
| Registered Dietitian | 133V00000X | 933665 (GA) |
Medical Physician Assistant: Definition to come...
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About NPI 1316044746
Jill Davis, PA-C, RDN's National Provider Identifier is 1316044746, issued on Sep 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Statesboro, GA. The record was last updated on Oct 17, 2024.