MYRTLE DAVENPORT HEALTHCARE SERVICES LLC

FAYETTEVILLE, GA
NPI1942085832
Doing Business AsMD BEHAVIORAL AND WELLNESS
Entity TypeOrganization
Authorized ContactMYRTLE HOWARD DAVENPORT
Nurse Practitioner/Owner
678-203-4595
Organization Subpart ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2023-08-29
Last Update Date2023-08-29
Business Address
MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
200 OXFORD LN
FAYETTEVILLE, GA 30215-5317
Phone number: 678-203-4595
Mailing Address
MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
200 OXFORD LN
FAYETTEVILLE, GA 30215-5317
Phone number: 678-203-4595