Christina Suzanne Davenport, PHARM.D.
Individual provider Active NPI Pharmacist · Blue Ridge, GA
NPI 1982120960 · NPPES record last updated Aug 21, 2017
Key facts
- NPI
- 1982120960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH026154 (GA)
- Practice address
- 4075 E First St
Blue Ridge, GA 30513-4526 - Phone
- (706) 455-2288
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH026154 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Drug Company, Inc | Current | Accepting new patients |
Locations
4075 E First St
Blue Ridge, GA 30513
Phone (706) 455-2288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026154 | GA | Yes |
Addresses
Primary practice location
4075 E First St
Blue Ridge, GA 30513-4526
Mailing address
PO Box 2574
Blue Ridge, GA 30513-0045
Phone (706) 455-2288
Other names
- Dr. Suzanne Davenport
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.