Davenport, Russell Emmett

Davenport, Russell Emmett is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Davenport, Russell Emmett can be contacted via phone (888) 280-9533.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (888) 280-9533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2019-01531 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 82514 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2019-01531 North Carolina

Profile Details

NPI number 1881012441
LBN Legal business name Davenport, Russell Emmett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Oct 7th, 2021 - about 3 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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