WILLIAM DAVENPORT

FORT PAYNE, AL
NPI1639576408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA  154845)
Enumeration Date2014-11-22
Last Update Date2018-11-19
Business Address
Mr. WILLIAM DAVENPORT CSFA
2605 GAULT AVE N
FORT PAYNE, AL 35967-3751
Phone number: 256-979-1550
Mailing Address
Mr. WILLIAM DAVENPORT CSFA
64 GINGER LAKE DRIVE
ROCK SPRING, GA 30739-2249
Phone number: 423-321-2506
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