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1760653505
TIMOTHY C DAVENPORT
JACKSON, TN
NPI
1760653505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TN 45054)
Enumeration Date
2008-03-20
Last Update Date
2023-10-25
Business Address
TIMOTHY C DAVENPORT M.D.
145 INNOVATION DR STE 300
JACKSON, TN 38305-3019
Phone number: 731-422-0213
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Mailing Address
TIMOTHY C DAVENPORT M.D.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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