| Davenport Health Pa | |
|
1401 Cherokee Drive Waycross GA 31501 | |
| (850) 251-1644 | |
| Not Available |
| Full Name | Davenport Health Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Cherokee Drive, Waycross, Georgia |
| Authorized Official Name and Position | Jeffrey Davenport (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 8502511644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Health Pa 56 W. Main Street Ste. 305 Christiana DE 19702 Ph: (302) 273-2247 | Davenport Health Pa 1401 Cherokee Drive Waycross GA 31501 Ph: (850) 251-1644 |
| NPI Number | 1962906115 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962906115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 63574 (Georgia) | Primary |
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