CHARLES L DAVENPORT

MABLETON, GA
NPI1104038686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  ga017346)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Dr. CHARLES L DAVENPORT
558 IVEY WAY S.E.
MABLETON, GA 30126
Phone number: 678-575-8701
Mailing Address
Dr. CHARLES L DAVENPORT
558 IVEY WAY S.E.
MABLETON, GA 30126
Phone number: 678-575-8701
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