Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Brinson Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699691857

Shane Brinson Davis is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

250 W Green St
Athens, GA 30602-5036
Phone: (706) 542-1911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PHI-023934 (GA)

Record details

NPI number1699691857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address231 Jenkins Cemetary Rd, Sardis, GA 30456-2301

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