SARA MADISON DAVENPORT MOSCOW

NASHVILLE, TN
NPI1619235033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TN  59421)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: VA  0101256921)
207V00000X Obstetrics & Gynecology
(Licence: KY  54673)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-04-24
Last Update Date2022-05-20
Business Address
SARA MADISON DAVENPORT MOSCOW MD
2000 CHURCH ST
NASHVILLE, TN 37236-4400
Phone number: 919-522-7658
Mailing Address
SARA MADISON DAVENPORT MOSCOW MD
1908 TRUETT AVE
NASHVILLE, TN 37206-1844
Phone number: 919-522-7658