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Dr. Charles W. Davenport JR., MD
Cardiovascular Disease Physician in Meridian, Mississippi
NPI 1851373674

Charles W. Davenport JR. is a Cardiovascular Disease Physician based in Meridian, MS and is specialized in Cardiovascular Disease. Charles W. Davenport JR. practices in Meridian, MS and has the professional credentials of MD. The NPI Number for Charles W. Davenport JR. is 1851373674 and holds a License No. 13521 (Mississippi).

The current practice location address for Charles W. Davenport JR. is 1800 12Th St, Meridian, MS and can be reached out via phone at 601-703-4065 and via fax at 601-703-3050.

Location: 1800 12Th St, Meridian, MS, 39301-4158
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Provider Profile Details
NPI Number
1851373674
Provider Name
Charles W. Davenport JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 12Th St, Meridian, MS, 39301-4158
Phone Number
601-703-4065
Fax Number
601-703-3050
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060048292 01 TRICARE
731-02314 01 BLUE CROSS OF AL
00115846 05 MS
009809870 05 AL
institution
Provider Business Practice Location Address Details
Address
1800 12Th St
City
State
Zip
39301-4158
Phone Number
601-703-4065
Fax Number
601-703-3050
person
Provider Business Mailing Address Details
Address
1800 12Th St
City
State
Zip
39301-4158
Phone Number
601-703-4065
Fax Number
601-703-3050
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
13521 (Mississippi)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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