Individual provider · Type 1 NPI

Tanjala Davenport

Contractor · Valdosta, GA

NPI number 1295201127 Active

Practice location

811 W Mary St Apt B1
Valdosta, GA 31601-3781

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1295201127

Tanjala Davenport's National Provider Identifier is 1295201127, issued on Oct 18, 2018. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Valdosta, GA. The record was last updated on Oct 18, 2018.