Individual provider · Type 1 NPI

Derrick Cameron Davis Jr.

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

NPI number 1821960477 Active

Practice location

2222 Wilmington Cir NE
Marietta, GA 30062-1695

Call (404) 820-0103 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1821960477

Derrick Cameron Davis Jr.'s National Provider Identifier is 1821960477, issued on Sep 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Sep 23, 2025.