Organization
MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
Active
Parent organization
MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
Other names
MD Behavioral and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
Authorized official
MRS. MYRTLE HOWARD DAVENPORT APRN, NP-C, PMHNP-BC (NURSE PRACTITIONER/OWNER)
(678) 203-4595
Entity
Organization
Contact information
Practice address
200 OXFORD LN, FAYETTEVILLE, GA 30215-5317
(678) 203-4595
(631) 201-2695
Mailing address
200 OXFORD LN, FAYETTEVILLE, GA 30215-5317
(678) 203-4595
(631) 201-2695
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us