Individual provider · Type 1 NPI
Bibomba Davenport
Durable Medical Equipment & Medical Supplies · Smyrna, GA
NPI number
1679901995
Active
Practice location
2690 Mt Wilkinson Pkwy SE, 22
Smyrna, GA 30080-3020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1744P3200X (GA) |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: 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.
Other durable medical equipment & medical supplies providers in Smyrna
About NPI 1679901995
Bibomba Davenport's National Provider Identifier is 1679901995, issued on Oct 23, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Smyrna, GA. The record was last updated on May 31, 2023.