Jeffrey P. Davenport, M.D. Valid NPI
Individual provider · Family Medicine Physician · Blackshear, GA
- NPI
- 1528204989
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 339722 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-01-06
- Last updated
- 2025-02-19
Practice location
120 Carter Ave, Blackshear Family Practice
Blackshear, GA 31516
(912) 449-4426