Charisse Chantel Davenport, D.O.
Internal Medicine in Baltimore, MD. Individual provider (NPI-1).
NPI number1962500652
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1962500652
- Entity type
- Individual (NPI-1)
- Name
- Charisse Chantel Davenport
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | H0064558 | MD | Yes |
Practice location
8830 Belair RdBaltimore, MD 21236-2401
Phone 410-529-9200
Mailing address
5000 Cox RdGlen Allen, VA 23060-9263
Phone 804-968-5700
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