# LINDA K DAVENPORT MD P L L C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811135890
- **Authorized official:** LINDA K DAVENPORT M.D. (PHYSICIAN)
- **Authorized official phone:** (334) 636-2258

## Contact information

- **Practice address:** 411 WILSON AVE W, THOMASVILLE, AL 36784-2015
- **Practice address phone:** (334) 636-2258
- **Practice address fax:** (334) 636-2259
- **Mailing address:** 411 WILSON AVE W, THOMASVILLE, AL 36784-2015
- **Mailing address phone:** (334) 636-2258
- **Mailing address fax:** (334) 636-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 12/27/2010