Individual
MR. GERALD MACON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1703 COUNTRY CLUB RD, SUITE 204, JACKSONVILLE, NC 28546-6008
(910) 347-3010
(910) 347-3201
Mailing address
1703 COUNTRY CLUB RD, SUITE 204, JACKSONVILLE, NC 28546-6008
(910) 347-3010
(910) 347-3201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
88
NC
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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