License holder summary

DAVENPORT-NICHOLSON, AGENA RENEE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for DAVENPORT-NICHOLSON, AGENA RENEE, MD is 550 PEACHTREE ST., Atlanta 30308. This doctor license is current. The license was granted 03/01/2012 and expired on 08/31/2017.

Georgia

Composite Medical Board

DAVENPORT-NICHOLSON, AGENA RENEE, MD
Medical - Physician
License number
067408
Date granted
03/01/2012
Date expires
08/31/2017
Class
Medical - Physician
Status
Active
Address
550 PEACHTREE ST.
georgiadoctors.net
ID 38037439
LAST UPDATED 2024-04-12 18:29:16 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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