Provider Demographics
NPI:1144473976
Name:DAVIS, JESSICA MEREDITH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MEREDITH
Last Name:DAVIS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1321A INTERSTATE PKWY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5626
Mailing Address - Country:US
Mailing Address - Phone:706-738-7246
Mailing Address - Fax:706-738-7248
Practice Address - Street 1:1321A INTERSTATE PKWY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5626
Practice Address - Country:US
Practice Address - Phone:706-738-7246
Practice Address - Fax:706-738-7248
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2020-07-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant