Individual
DR. JAMES LEE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379172
—
TN
Enumeration date
12/05/2006
Last updated
07/08/2007
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