Davis, Misty Delaine

Davis, Misty Delaine is an individual health care provider with primary practice located at 2015 Vaughn Rd Nw Suite 130, Kennesaw GA 30144-7801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Misty Delaine can be contacted via phone (770) 425-6661.

Contact Information

Primary practice address
2015 Vaughn Rd Nw Suite 130 Kennesaw GA 30144-7801
Phone: (770) 425-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT003187 Georgia

Profile Details

NPI number 1407923048
LBN Legal business name Davis, Misty Delaine
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

Request for update

Popular Providers