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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN TIERRA DAVIS, LDO

Active

AUTUMN TIERRA DAVIS, LDO is a Optician, Dispensing healthcare provider located in VALDOSTA, Georgia. NPI 1851131130 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · VALDOSTA, GA

Registration Details

NPI Number
1851131130
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2024 (2.1820439974989 yrs)
Last Updated
May 25, 2024
License
LDO002925 (GA)

Practice Information

Address
450 NORMAN DR
VALDOSTA, GA, 316017708
Browse GA providers · Browse ZIP 31601
Phone
2292449118
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in VALDOSTA, GA

Name Credential NPI
MR. STEPHEN A BEALL LDO 1720576366
JAMES DEWAYNE WILLAFORD LDO 1770338568
ANTONIO URIAH JONES 1457191728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.