Davenport, Timothy C

Davenport, Timothy C is an individual health care provider with primary practice located at 145 Innovation Dr Ste 300, Jackson TN 38305-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davenport, Timothy C can be contacted via phone (731) 422-0213.

Contact Information

Primary practice address
145 Innovation Dr Ste 300 Jackson TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 422-0402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 45054 Tennessee

Profile Details

NPI number 1760653505
LBN Legal business name Davenport, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Oct 25th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760653505 NPPES
Tennessee Other 4231017 BCBS NUMBER
Tennessee MEDICAID 1514816 BCBS NUMBER

Popular Providers