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Contact Information

CONNIE L DAVENPORT
1289 GI MADDOX PKWY
CHATSWORTH, GA30705-2069
 Phone: 706-971-3366
 Fax: 706-426-0949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CONNIE L DAVENPORT · (Female)

NPI # 1497421044
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2021
Last updated 08/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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