Timothy C Davenport, M.D.

NPI #1760653505 in Jackson, Tennessee

Provider Information

NPI Number: 1760653505
Entity Type: Individual
Name: Timothy C Davenport, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Mar 20, 2008
Last Updated: Oct 25, 2023

Practice Location

Address: 145 INNOVATION DR
Address 2: STE 300
City: Jackson
State: Tennessee
ZIP Code: 38305-3019
Phone: (731) 422-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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