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Bibomba Davenport
Durable Medical Equipment & Medical Supplies in Smyrna, Georgia
NPI 1679901995

Bibomba Davenport is a Durable Medical Equipment & Medical Supplies based in Smyrna, GA. Bibomba Davenport practices in Smyrna, GA. The NPI Number for Bibomba Davenport is 1679901995 and holds a License No. 1744P3200X (Georgia).

The current practice location address for Bibomba Davenport is 2690 Mt Wilkinson Pkwy Se, Smyrna, GA and can be reached out via phone at 404-510-2604. You can also correspond with Bibomba Davenport through the mailing address at 2690 MT WILKINSON PKWY SE, SMYRNA, GA - 30080 (mailing address contact number: 404-510-2604).

Location: 2690 Mt Wilkinson Pkwy Se, Smyrna, GA, 30080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679901995
Provider Name
Bibomba Davenport
Credential
Provider Entity Type
Individual
Gender
Female
Address
2690 Mt Wilkinson Pkwy Se, Smyrna, GA, 30080
Phone Number
404-510-2604
Fax Number
Provider Enumeration Date
10/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2690 Mt Wilkinson Pkwy Se
City
Smyrna
State
Georgia
Zip
30080-3020
Phone Number
404-510-2604
Fax Number
person
Provider Business Mailing Address Details
Address
2690 Mt Wilkinson Pkwy Se
City
Smyrna
State
Georgia
Zip
30080
Phone Number
404-510-2604
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1744P3200X (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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