| Doctor Name: | SHA-RHONDA M. DAVIS |
| NPI Number: | 1174852156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, SSW |
| License Number: | 655925 |
| Business Practice Address: | 5604 Wendy Bagwell Pkwy 812 Hiram, GA - 301417813 |
| Business Phone Number: | 6786029709 |
| Business Fax Number: | 6789289499 |
| Mailing Address: | Po Box 1365, HIRAM |
| State: | GA |
| Postal Code: | 301411365 |
| Phone Number: | 6786029709 |
| Fax Number: | 6789289499 |
| NPI Enumeration Date: | 12/21/2009 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 655925 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |