Myrtle Davenport Healthcare Services LLC
Myrtle Davenport Healthcare Services LLC provides Psychiatry Physician services in Fayetteville, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Oxford LnFayetteville, GA 30215-5317
Phone: (678) 203-4595
Fax: (631) 201-2695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1942085832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Myrtle Davenport Healthcare Services LLC |
| Authorized official | Myrtle Davenport — Nurse Practitioner/Owner · (678) 203-4595 |
| Other names | Md Behavioral And Wellness |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 200 Oxford Ln, Fayetteville, GA 30215-5317 |
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