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Individual

ANDREA WATKINS-DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
909 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7247
(478) 697-3145
Mailing address
909 EAGLES LANDING PKWY STE 440, STOCKBRIDGE, GA 30281-6398

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315888
GA
363LF0000X
Family Nurse Practitioner
Primary
A189877
IA

Other

Enumeration date
01/07/2026
Last updated
03/04/2026
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