Provider Demographics
NPI:1316176415
Name:IN PATIENT CARE LLC
Entity type:Organization
Organization Name:IN PATIENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-636-0661
Mailing Address - Street 1:33650 HIGHWAY 43 STE 100
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-3307
Mailing Address - Country:US
Mailing Address - Phone:334-636-0661
Mailing Address - Fax:334-636-5667
Practice Address - Street 1:33650 HIGHWAY 43 STE 100
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-3307
Practice Address - Country:US
Practice Address - Phone:334-636-0661
Practice Address - Fax:334-636-5667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD29065207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty