SAMUEL V DAVENPORT

JOHNSON CITY, TN
NPI1083616056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN0000104846)
Enumeration Date2005-08-10
Last Update Date2019-04-24
Business Address
SAMUEL V DAVENPORT CRNA
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6111
Mailing Address
SAMUEL V DAVENPORT CRNA
1009 LARK ST STE 2
JOHNSON CITY, TN 37604-8218
Phone number: 423-283-0776
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