Dr CHARISSE C DAVENPORT DO is a female medical professional, specializing in Internal Medicine. She graduated in 2003 from Philadelphia College Of Osteopathic Medicine.
PATIENT FIRST MARYLAND MEDICAL GROUP PLLC
10210 REISTERSTOWN RD
OWINGS MILLS
MD
211173606
Tel: 4109026776
Npi | 1962500652 |
Pac Id | 0648272989 |
Professional Enrollment Id | I20070215000274 |
Last Name | DAVENPORT |
First Name | CHARISSE |
Middle Name | C |
Suffix | |
Gender | F |
Credential | DO |
Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2003 |
Primary Specialty | INTERNAL MEDICINE |
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Organization Legal Name | PATIENT FIRST MARYLAND MEDICAL GROUP PLLC |
Group Practice Pac Id | 4385538735 |
Number Of Group Practice Members | 211 |
Line 1 Street Address | 10210 REISTERSTOWN RD |
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City | OWINGS MILLS |
State | MD |
Zip Code | 211173606 |
Phone Number | 4109026776 |
Hospital Affiliation Ccn 1 | 210006 |
Hospital Affiliation Lbn 1 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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