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

Dr. Charles L Davenport Jr.

Individual provider Pharmacist · NPI 1104038686

Dr. Charles L Davenport Jr. is a Pharmacist in Mableton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

558 Ivey Way S.e
Mableton, GA 30126
Phone: (678) 575-8701
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence GA017346 (GA)

Record details

NPI number1104038686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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