Davenport, Amanda

Davenport, Amanda is an individual health care provider with primary practice located at 100 Gross Crescent Cir , Fort Oglethorpe GA 30742-3643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davenport, Amanda can be contacted via phone (706) 858-2000.

Contact Information

Primary practice address
100 Gross Crescent Cir Fort Oglethorpe GA 30742-3643
Phone: (706) 858-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24402 Tennessee

Profile Details

NPI number 1174018857
LBN Legal business name Davenport, Amanda
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Dec 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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