Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgett De'Neisha Davis

Individual provider Other Technician · NPI 1194550236

Bridgett De'Neisha Davis is an Other Technician in Broxton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

2862 Ga Highway 268 W
Broxton, GA 31519-5005
Phone: (229) 457-4260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence BACB1108414 (GA)

Record details

NPI number1194550236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024