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NPI Verification

National Provider Identifier: 1760653505

Timothy C Davenport, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

145 INNOVATION DR

STE 300

JACKSON, TN 383053019

Phone: 731-422-0213

NPI Enumeration Date

March 20, 2008

NPI Number

1760653505

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry