Davenport, Lottie S
Davenport, Lottie S is an individual health care provider with primary practice located at 51 Gordon Rd Ste 201 , Jasper GA 30143-7104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davenport, Lottie S can be contacted via phone (706) 692-9768.Contact Information
Primary practice address
51 Gordon Rd Ste 201
Jasper GA 30143-7104
Phone: (706) 692-9768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN149848 | Georgia |
Profile Details
| NPI number | 1629048756 |
|---|---|
| LBN Legal business name | Davenport, Lottie S |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Aug 29th, 2008 - about 18 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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