Bibomba Davenport
Bibomba Davenport is a Prosthetics Case Management in Smyrna, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
2690 Mt Wilkinson Pkwy SE 22Smyrna, GA 30080-3020
Phone: (404) 510-2604
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Prosthetics Case Management | Taxonomy 1744P3200X · Licence 1744P3200X (GA) |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1679901995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2013 |
| Last updated in NPPES | May 31, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 2690 Mt Wilkinson Pkwy Se, 22, Smyrna, GA 30080 |
Other providers in Smyrna
-
Dynasty Elegance
2365 Spring Rd SE, Smyrna, GA 30080-2632 · (770) 639-0703
-
Angel Johnson
2400 Herodian Way SE Ste 375, Smyrna, GA 30080-8581 · (513) 919-7600
-
Faith McCoy Scriven
2700 Cobb Pkwy SE Ste B-15, Smyrna, GA 30080-3025 · (678) 916-6745
-
Ryan Lamar Scott
2550 Cobb Pkwy SE Ste 203, Smyrna, GA 30080-3059 · (678) 903-2908