Healthcare Provider Details

I. General information

NPI: 1134583727
Provider Name (Legal Business Name): ERICA RENEE DAVENPORT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA RENEE POLLARD

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E HIGH ST STE 201
CHARLOTTESVILLE VA
22902-4850
US

IV. Provider business mailing address

13710 ST FRANCIS BLVD
MIDLOTHIAN VA
23114-3267
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-2870
  • Fax: 833-954-5530
Mailing address:
  • Phone: 804-320-2483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0092091
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD047999
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0101272374
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: