Individual
JOHN BRYON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
5601 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212-8841
(704) 537-1022
(704) 569-0822
Mailing address
650 HOPEWELL RD, ELLENBORO, NC 28040-6709
(704) 284-2909
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2021849801
NC
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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