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Tanjala Davenport
NPI 1295201127 · on the registry since 2018 · sole proprietor
Practice
- Address
- 811 W Mary St Apt B1
Valdosta, GA 31601 - Phone
- (229) 630-5146
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Female
- Record last updated
- 2018-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia