Provider Demographics
NPI:1801981626
Name:DAVIS, GALA (DC)
Entity type:Individual
Prefix:DR
First Name:GALA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 HIGHWAY 74 N
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1169
Mailing Address - Country:US
Mailing Address - Phone:770-486-8777
Mailing Address - Fax:770-486-0049
Practice Address - Street 1:427 HIGHWAY 74 N
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1169
Practice Address - Country:US
Practice Address - Phone:770-486-8777
Practice Address - Fax:770-486-0049
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCGFHMedicare ID - Type Unspecified
GA144580Medicare UPIN