Davenport, James Lee

Davenport, James Lee is an individual health care provider with primary practice located at 306 Pine Hill Rd , Elizabethton TN 37643-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davenport, James Lee can be contacted via phone (423) 542-4189.

Contact Information

Primary practice address
306 Pine Hill Rd Elizabethton TN 37643-2920
Phone: (423) 542-4189
Fax: (423) 542-4181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34068 Tennessee

Profile Details

NPI number 1326106964
LBN Legal business name Davenport, James Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326106964 NPPES
Tennessee MEDICAID 3379172

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