Davenport Health Pa

LBN: Davenport Health Pa
Davenport Health Pa is an health care organization with primary practice located at 1401 Cherokee Drive , Waycross GA 31501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Davenport Health Pa can be contacted via phone (850) 251-1644, or through Davenport, Jeffrey via phone (850) 251-1644.

Contact Information

Primary practice address
1401 Cherokee Drive Waycross GA 31501
Phone: (850) 251-1644
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Jeffrey Doctor of Medicine (MD)
Phone: (850) 251-1644

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 63574 Georgia

Profile Details

NPI number 1962906115
LBN Legal business name Davenport Health Pa
DBA Doing business as
Authorized official Davenport, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2018
Last updated Mar 22nd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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