Individual
MATTHEW STANCIL DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2318 N NC HIGHWAY 58, NASHVILLE, NC 27856-9007
(252) 813-0027
(252) 459-2508
Mailing address
2318 N NC HIGHWAY 58, NASHVILLE, NC 27856-9007
(252) 813-0027
(252) 459-2508
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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