Amanda Davenport, NP-C
NPI #1174018857 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1174018857
- Entity Type
- Individual
- Name
- Amanda Davenport, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Jun 26, 2018
- Last Updated
- Dec 31, 2018
Practice Location
- Address
- 100 GROSS CRESCENT CIR
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-3643
- Phone
- (706) 858-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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