IndividualActive
Angela Davidson
NPI 1124488929 · Specialist · Douglasville, GA
Provider details
- NPI number
- 1124488929
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
4444 Glider Cir
Douglasville, GA 30135-8726
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.