Organization
BRACIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN SCOTT DAVENPORT (PRESIDENT)
(770) 297-1388
Entity
Organization
Contact information
Practice address
621 WASHINGTON ST SW, SUITE A-4, GAINESVILLE, GA 30501-8567
(770) 297-1388
(770) 297-1389
Mailing address
621 WASHINGTON ST SW, SUITE A-4, GAINESVILLE, GA 30501-8567
(770) 297-1388
(770) 297-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
08/31/2006
Last updated
07/21/2022
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