Individual
JOSHUA G DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
249 CENTRAL PARK AVENUE, SUITE 300-161, VIRGINIA BEACH, VA 23462-3099
(615) 994-1000
(615) 994-0100
Mailing address
477 N CHANCERY ST # 5, MCMINNVILLE, TN 37110-8901
(931) 365-2175
(615) 893-9969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008873
VA
363A00000X
Physician Assistant
Primary
4477
TN
363AM0700X
Medical Physician Assistant
0110008873
VA
363AM0700X
Medical Physician Assistant
4477
TN
Other
Enumeration date
02/18/2021
Last updated
06/01/2026
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