Bridgett De'Neisha Davis
Bridgett De'Neisha Davis is an Other Technician in Broxton, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
2862 Ga Highway 268 WBroxton, GA 31519-5005
Phone: (229) 457-4260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence BACB1108414 (GA) |
|---|
Record details
| NPI number | 1194550236 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2024 |
| Last updated in NPPES | September 6, 2024 |
| Certification date | September 6, 2024 |
| Mailing address | 2862 Ga Highway 268 W, Broxton, GA 31519-5005 |