Individual
JOHN E. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
332 SAM NEWELL RD, SUITE 2000, MATTHEWS, NC 28105-6566
(704) 302-8500
(704) 302-8501
Mailing address
PO BOX 60063, CHARLOTTE, NC 28260-0063
(704) 302-8500
(704) 302-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927174
—
NC
Enumeration date
07/27/2006
Last updated
10/10/2008
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