Individual
DR. JASON EVAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2934 N ELM ST STE E, LUMBERTON, NC 28358-2987
(910) 739-0022
(910) 739-0079
Mailing address
1905 ROCKGLEN LN, GREENSBORO, NC 27410-2168
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2017-00929
NC
2086S0129X
Vascular Surgery Physician
25MA09539300
NJ
Other
Enumeration date
04/28/2008
Last updated
11/18/2020
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