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Individual

JODY R DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-1153
Mailing address
513 CHIVALRY DR, DURHAM, NC 27703-3728

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16428
NC

Other

Enumeration date
07/05/2016
Last updated
09/29/2020
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