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NPI Code Detail

MEDICARE: MS. DONNA MARIE DAVIDSON M.ED CCC/SLP

MEDICARE: MS. DONNA MARIE DAVIDSON M.ED CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP002060GA

General Provider Information

NPI Number : 1801981873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE DAVIDSON M.ED CCC/SLP
Provider Business Mailing Address
First Line : 4062 SILVER FIR CT
Second Line :
City : MARIETTA
State : GA
Zip : 30066-2753
Country : US
Telephone Number : 770-924-3368
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LAKE HEARN DR NE
Second Line : SUITE 250
City : ATLANTA
State : GA
Zip : 30319-1415
Country : US
Telephone Number : 404-214-2006
Fax Number : 404-943-0890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ MS. DONNA MARIE DAVIDSON M.ED CCC/SLP” Practice Location

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