Davis, Autumn Tierra

Davis, Autumn Tierra is an individual health care provider with primary practice located at 450 Norman Dr , Valdosta GA 31601-7708. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Davis, Autumn Tierra can be contacted via phone (229) 244-9118.

Contact Information

Primary practice address
450 Norman Dr Valdosta GA 31601-7708
Phone: (229) 244-9118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO002925 Georgia

Profile Details

NPI number 1851131130
LBN Legal business name Davis, Autumn Tierra
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2024
Last updated May 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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