NPI 1790740298

Brian D Davis, ATC

Practitioner Athletic Trainer Americus, GA

Practice location

Address: 203 Reese St, Americus, GA 31709-3752
Phone: (229) 924-8123
Mailing address: 213 Glenwood Rd, Americus, GA 31709-4705

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001055 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1790740298
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2006
Record last updated: 8 Jul 2007

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.