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Individual

MS. SUSAN ELIZABETH DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
800 MONTCLAIR RD, BIRMINGHAM, AL 35213-1908
(205) 592-1451
(205) 592-5001
Mailing address
1242 BERWICK RD, BIRMINGHAM, AL 35242-7123
(205) 981-9809
(205) 592-5001

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-033408
AL

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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