Individual
WESTON DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Mailing address
87 INDIGO DR, MINERAL BLUFF, GA 30559-3434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN255176
GA
Other
Enumeration date
10/01/2020
Last updated
10/22/2025
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