Individual
MR. JEREMY SCOTT DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-7776
(828) 274-6003
(828) 274-6004
Mailing address
1119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-7776
(828) 274-6003
(828) 274-6004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00771670
MEDICARE RAILROAD
—
Enumeration date
09/20/2006
Last updated
12/11/2023
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