profile image
Primary Practice Address
51 GORDON RD STE 201
JASPER, GA 30143-7104 US
PECOS Enrolled

Lottie S Davenport

Nurse Practitioner (Family)


Lottie S Davenport

Overview

Lottie S Davenport is a Nurse Practitioner (Family) in the JASPER area. Lottie S Davenport primary office location is at 51 GORDON RD STE 201 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1629048756 and the information was updated approximately 17 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
51 GORDON RD STE 201
JASPER, GA 30143-7104 US
Phone: (706)-692-9768
Fax:
Practice Mailing Information
51 GORDON RD STE 201
JASPER, GA 30143-7104 US
Phone: (706)-692-9768
Fax:
License NumberState
RN149848GA