BIBOMBA DAVENPORT NPI 1679901995

NPI Information

  • NPI: 1679901995
  • Provider Name: BIBOMBA DAVENPORT
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 2690 MT WILKINSON PKWY SE
    22
    SMYRNA, GA
    ZIP 30080
  • Phone: (404) 510-2604

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NPI Details

Bibomba Davenport is a durable medical equipment medical supplies in Smyrna, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Bibomba Davenport NPI is 1679901995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2690 MT WILKINSON PKWY SE
22
SMYRNA, GA
ZIP 30080-020
Phone: (404) 510-2604

The enumeration date for this NPI number is 10/23/2013 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case Management1744P3200XGEORGIANo
2335E00000XProsthetic/Orthotic SupplierNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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