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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BIBOMBA DAVENPORT

Active Sole Proprietor

BIBOMBA DAVENPORT is a Durable Medical Equipment & Medical Supplies healthcare provider located in SMYRNA, Georgia. NPI 1679901995 is currently active in the NPPES registry. Verify at CMS.

Durable Medical Equipment & Medical Supplies · SMYRNA, GA

Registration Details

NPI Number
1679901995
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2013 (12.851849398309 yrs)
Last Updated
May 31, 2023
License
1744P3200X (GA)
Sole Proprietor
Yes

Practice Information

Address
2690 MT WILKINSON PKWY SE
22
SMYRNA, GA, 300803020
Browse GA providers · Browse ZIP 30080
Phone
4045102604
Additional Specialty
Prosthetic/Orthotic Supplier

Other Durable Medical Equipment & Medical Supplies Providers in SMYRNA, GA

Name Credential NPI
RICARDO LOPEZ 1487235214
BEQUANDRA JOHNSON 1962201152
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.