Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles L Davenport Jr.

Individual provider Pharmacist · NPI 1104038686

Dr. Charles L Davenport Jr. is a Pharmacist in Mableton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

558 Ivey Way S.e
Mableton, GA 30126 Not confirmed with CMS for 19 years — call before visiting
Phone: (678) 575-8701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence GA017346 (GA)

Record details

NPI number1104038686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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