SearchTennessee208800000X

Timothy Davenport, M.D

NPI 1760653505 · on the registry since 2008

Practice

Address
145 Innovation Dr
Ste 300
Jackson, TN 38305
Phone
(731) 422-0213
Fax
(731) 422-0402
Organisation at this address
Jackson Clinic Pa
Jackson Clinic Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-25

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 Tennessee