Individual
DR. PAMELA N DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E WOOD ST, SUITE 401, SPARTANBURG, SC 29303-3004
(864) 560-6851
(864) 560-7312
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14833
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148334
—
SC
01
—
4238873
AETNA
SC
01
—
62581
MEDCOST
SC
05
—
6906258
—
NC
Enumeration date
01/27/2006
Last updated
12/16/2020
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