Davenport, Bibomba

Davenport, Bibomba is an sole proprietor health care provider with primary practice located at 2690 Mt Wilkinson Pkwy Se 22, Smyrna GA 30080-3020. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Suppliers / Prosthetic/Orthotic Supplier, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is her primary health care specialty. Davenport, Bibomba can be contacted via phone (404) 510-2604.

Contact Information

Primary practice address
2690 Mt Wilkinson Pkwy Se 22 Smyrna GA 30080-3020
Phone: (404) 510-2604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 1744P3200X Georgia
Suppliers / Prosthetic/Orthotic Supplier 335E00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1679901995
LBN Legal business name Davenport, Bibomba
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2013
Last updated May 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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