Individual
MRS. COURTNEY FORTUNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6213 HILBERT RIDGE DR, HOLLY SPRINGS, NC 27540-8554
(252) 341-3392
Mailing address
6213 HILBERT RIDGE DR, HOLLY SPRINGS, NC 27540-8554
(252) 341-3392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079WA
BCBS
NC
Enumeration date
06/13/2006
Last updated
02/27/2020
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