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1174018857
AMANDA DAVENPORT
FORT OGLETHORPE, GA
NPI
1174018857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 24402)
Enumeration Date
2018-06-26
Last Update Date
2018-12-31
Business Address
AMANDA DAVENPORT NP-C
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742-3643
Phone number: 706-858-2000
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Mailing Address
AMANDA DAVENPORT NP-C
2504 MAPLEWOOD DR
CHATTANOOGA, TN 37421-1312
Phone number: 931-247-6575
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