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Organization
JAMES LEE DAVENPORT
Active
Organization
JAMES LEE DAVENPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEE DAVENPORT M.D. (OWNER)
(423) 542-4189
Entity
Organization
Contact information
Practice address
306 PINE HILL RD, ELIZABETHTON, TN 37643-2920
(423) 542-4189
(423) 542-4181
Mailing address
306 PINE HILL RD, ELIZABETHTON, TN 37643-2920
(423) 542-4189
(423) 542-4181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34068
TN
207R00000X
Internal Medicine Physician
36009
TN
208000000X
Pediatrics Physician
36009
TN
Other
Enumeration date
04/04/2007
Last updated
01/14/2010
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