IndividualActive
Bridgett Davis
NPI 1194550236 · Other Technician · Broxton, GA
Provider details
- NPI number
- 1194550236
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- BACB1108414 (GA)
Mailing address
2862 Ga Highway 268 W
Broxton, GA 31519-5005
Registry dates
- Enumerated
- 2024-09-06
- Last updated
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.