Individual
CARTER DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 PARKER ST NE, CLEVELAND, TN 37311
(423) 614-8175
Mailing address
2156 GIBSON DR SE, CLEVELAND, TN 37323-7100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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