Individual
JEFFREY P. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 CARTER AVE, BLACKSHEAR FAMILY PRACTICE, BLACKSHEAR, GA 31516
(912) 449-4426
Mailing address
410 DARLING AVE., SATILLA REGIONAL FAMILY PRACTICE RESIDENCY, WAYCROSS, GA 31501-5200
(912) 287-4168
(912) 338-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2944
GA
207Q00000X
Family Medicine Physician
Primary
339722
LA
Other
Enumeration date
01/06/2009
Last updated
02/19/2025
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