NPI 1114542438
Shanita Davis
Practice location
- Address
- 1245 Stoney Field Pl, Lawrenceville, GA 30043-3830
- Phone
- (813) 475-9970
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1114542438
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2020
- Record last updated
- 11 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.