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Davis Ison

NPI 1881177731 · on the registry since 2018

Practice

Address
5980 Seville Dr
Lake Park, GA 31636
Phone
(229) 251-4222

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia