Provider Demographics
NPI:1366650210
Name:DAVIS, CECILIA RAMEY (RN)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:RAMEY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1767
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:GA
Mailing Address - Zip Code:30525-0045
Mailing Address - Country:US
Mailing Address - Phone:706-244-4913
Mailing Address - Fax:
Practice Address - Street 1:604 MEDLEY ST
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:NM
Practice Address - Zip Code:87801-4632
Practice Address - Country:US
Practice Address - Phone:706-244-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN089239163WX0003X
NMR50496163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient