Organization
DAVENPORT HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVENPORT MD (PRESIDENT/PROVIDER)
(850) 251-1644
Entity
Organization
Contact information
Practice address
1401 CHEROKEE DRIVE, WAYCROSS, GA 31501
(850) 251-1644
Mailing address
56 W. MAIN STREET, STE. 305, CHRISTIANA, DE 19702
(302) 273-2247
(302) 533-6818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63574
GA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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