Dr TIMOTHY C DAVENPORT is a male medical professional, specializing in Urology. He graduated in 2004 from University Of Tennessee College Of Medicine.
JACKSON CLINIC PA
1863 S HIGHLAND AVE
JACKSON
TN
383017799
Tel: 7314235585
| Npi | 1760653505 |
| Pac Id | 9436209111 |
| Professional Enrollment Id | I20090618000568 |
| Last Name | DAVENPORT |
| First Name | TIMOTHY |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| All Secondary Specialties | |
| Organization Legal Name | JACKSON CLINIC PA |
| Group Practice Pac Id | 2668376872 |
| Number Of Group Practice Members | 173 |
| Line 1 Street Address | 1863 S HIGHLAND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSON |
| State | TN |
| Zip Code | 383017799 |
| Phone Number | 7314235585 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 440060 |
| Hospital Affiliation Lbn 2 | MILAN GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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