Search › Georgia › 104100000X
Kuyom Davenport, CACII
NPI 1992342638 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2459 Candler Rd
Decatur, GA 30032 - Phone
- (678) 599-1685
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia