Individual
DR. RUSSELL EMMETT DAVENPORT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2711 RANDOLPH RD STE 207, CHARLOTTE, NC 28207-2027
(704) 862-4700
(704) 862-4749
Mailing address
2711 RANDOLPH RD STE 207, CHARLOTTE, NC 28207-2027
(704) 862-4700
(704) 862-4789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019-01531
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2019-01531
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
82514
SC
Other
Enumeration date
04/01/2014
Last updated
06/27/2025
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