Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC | |
831 Fairways Ct, Ste #1, Stockbridge, GA 30281 | |
(404) 861-0827 | |
Not Available |
Full Name | Mrs Myrtle Howard Davenport |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 831 Fairways Ct, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710402979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN219619 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN219619 (Georgia) | Primary |
Entity Name | D L Murray Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720379696 PECOS PAC ID: 9830374842 Enrollment ID: O20110505000788 |
Mailing Address | Practice Location Address |
---|---|
Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC 920 Dannon Vw Sw, Ste 3103, Atlanta, GA 30331-2158 Ph: (404) 549-9471 | Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC 831 Fairways Ct, Ste #1, Stockbridge, GA 30281 Ph: (404) 861-0827 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 |