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-- LORETTA S. DAVIS -- MD

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1346350832
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1120 15TH ST, AUGUSTA, GA, 309120004
Phone
(706) 721-3291
Fax
(706) 721-1459

Specialties & Taxonomies

Dermatology Primary License: GA #035848

All Addresses

LOCATION

1120 15TH ST

AUGUSTA, GA, 309120004

(706) 721-3291

MAILING

1499 WALTON WAY STE 1400

AUGUSTA, GA, 309012602

(706) 828-8402