Individual
MR. JAMES EDWARD DAVENPORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 CULLY RD, CORDOVA, TN 38018-8502
(901) 624-2454
Mailing address
1155 CULLY RD, CORDOVA, TN 38018-8502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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