Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myrtle Davenport Healthcare Services LLC

Organization Psychiatry Physician · NPI 1942085832

Myrtle Davenport Healthcare Services LLC is a Psychiatry Physician in Fayetteville, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Oxford Ln
Fayetteville, GA 30215-5317
Phone: (678) 203-4595
Fax: (631) 201-2695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1942085832
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMyrtle Davenport Healthcare Services LLC
Authorized official Myrtle Davenport — Nurse Practitioner/Owner · (678) 203-4595
Other names Md Behavioral And Wellness
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address200 Oxford Ln, Fayetteville, GA 30215-5317

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