Individual provider · Type 1 NPI

Shane Brinson Davis

Student in an Organized Health Care Education/Training Program · Athens, GA

NPI number 1699691857 Active

Practice location

250 W Green St
Athens, GA 30602-5036

Call (706) 542-1911 Map

Mailing address

231 Jenkins Cemetary Rd
Sardis, GA 30456-2301

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPHI-023934 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699691857

Shane Brinson Davis's National Provider Identifier is 1699691857, issued on Jun 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, GA. The record was last updated on Jun 24, 2026.