BIBOMBA DAVENPORT

NPI: 1679901995 · Individual · Active

Primary Specialty

Durable Medical Equipment & Medical Supplies

Practice Location

2690 MT WILKINSON PKWY SE
22
SMYRNA, GA 30080-3020 Map ↗
Phone: 404-510-2604

All Specialties & Licenses

  • Durable Medical Equipment & Medical Supplies Primary
  • Prosthetics Case Management — Prosthetics Case Management (license: 1744P3200X, GA)
  • Prosthetic/Orthotic Supplier

NPI Registration

Enumerated: 2013-10-23

Last CMS Update: 2023-05-31