Individual
CARSON DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 300-1772
Mailing address
208 RIVER DR, MT JULIET, TN 37122-2024
(615) 300-1772
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000077860
TN
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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