Individual
JEFFREY A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1031 PARK DR STE 4, WATKINSVILLE, GA 30677-6060
(706) 310-0575
(706) 310-0576
Mailing address
1031 PARK DR STE 4, WATKINSVILLE, GA 30677-6060
(706) 310-0575
(706) 310-0576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LIC6636
GA
Other
Enumeration date
09/20/2006
Last updated
11/05/2007
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