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Timothy C Davenport, MD
Urology Physician in Jackson, Tennessee
NPI 1760653505

Timothy C Davenport is a Urology Physician based in Jackson, TN. Timothy C Davenport practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Timothy C Davenport is 1760653505 and holds a License No. 45054 (Tennessee).

The current practice location address for Timothy C Davenport is 145 Innovation Dr, Jackson, TN and can be reached out via phone at 731-422-0213 and via fax at 731-422-0402.

Location: 145 Innovation Dr, Jackson, TN, 38302-0400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760653505
Provider Name
Timothy C Davenport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
145 Innovation Dr, Jackson, TN, 38302-0400
Phone Number
731-422-0213
Fax Number
731-422-0402
Provider Enumeration Date
03/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4231017 01 TN BCBS NUMBER
1514816 05 TN
institution
Provider Business Practice Location Address Details
Address
145 Innovation Dr
City
Jackson
State
Tennessee
Zip
38305-3019
Phone Number
731-422-0213
Fax Number
731-422-0402
person
Provider Business Mailing Address Details
Address
145 Innovation Dr
City
Jackson
State
Tennessee
Zip
38305-3019
Phone Number
731-422-0213
Fax Number
731-422-0402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
45054 (Tennessee)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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