Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES L DAVENPORT JR.
Active Sole ProprietorDR. CHARLES L DAVENPORT JR. is a Pharmacist healthcare provider located in MABLETON, Georgia. NPI 1104038686 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MABLETON, GA
Registration Details
- NPI Number
- 1104038686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.237073433827 yrs)
- Last Updated
- Jul 8, 2007
- License
-
GA017346 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
558 IVEY WAY S.E.MABLETON, GA, 30126Browse GA providers · Browse ZIP 30126
- Phone
- 6785758701
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MABLETON, GA
| Name | Credential | NPI |
|---|---|---|
| MS. MARY KATHLEEN ASHLOCK | RPH | 1316260490 |
| DEANA O'LOUGHLIN | R.PH. | 1891018735 |
| DR. THADDEUS A BLUE | PHARMD | 1770807661 |
| MR. OLUWOLE T TAIWO | — | 1003114166 |
| MR. DARRYL STOVER | R.PH | 1417247941 |
| MOND U IGBINOWANHIA | — | 1881974376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.