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Individual

GREY DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5215 LOUGHBORO RD NW STE 200, WASHINGTON, DC 20016-2625
(202) 787-5601
Mailing address
5215 LOUGHBORO RD NW STE 200, WASHINGTON, DC 20016-2625
(202) 787-5601

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006923
MD
363A00000X
Physician Assistant
PA031504
DC

Other

Enumeration date
03/20/2014
Last updated
09/18/2018
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