Individual
MR. MARCUS B. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
1400 WILLOW LN, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(336) 838-3133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107405
—
NC
Enumeration date
05/10/2006
Last updated
07/29/2013
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