NPI age
8 years
Enumerated 2017-08-23
● Active
Type 1 · Individual
MS. Ejuan Davis, HAIR LOSS SPECIALIST
Davis is 1 of 2 specialist providers in Hiram and 1 of 250 in Georgia.
Primary specialty
Specialist
Plus 2 subspecialties
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 10% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-08Enumerated in NPPES
2017
2026
Where they practice
Practice location
5043 Jimmy Lee Smith Pkwy
Hiram, GA 301412733
Mailing address
19 Centennial Ln
Dallas, GA 301320256
Additional practice locations
1 secondary location on file with NPPES.
Location 2
19 Centennial Ln
Dallas, GA 301320256
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
-
SpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
-
Specialist/Technologist, OtherGeneral classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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