Davenport, William Wayne

Davenport, William Wayne is an individual health care provider with primary practice located at 582 Island Walk E , Mt Pleasant SC 29464-7834. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Davenport, William Wayne can be contacted via phone (501) 815-4924.

Contact Information

Primary practice address
582 Island Walk E Mt Pleasant SC 29464-7834
Phone: (501) 815-4924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X E-4365 Arkansas
Other Service Providers / Specialist 174400000X E4365 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-4365 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 76325 Georgia

Profile Details

NPI number 1952391401
LBN Legal business name Davenport, William Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952391401 NPPES
Arkansas MEDICAID 157517001
Arkansas Other E4365

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