Individual
AGENA RENEE DAVENPORT-NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, MOT 8TH FLOOR, ATLANTA, GA 30308-2208
(404) 727-8600
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 727-8600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1026413
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
67408
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/03/2008
Last updated
03/05/2026
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