Individual
JACKSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6874
Mailing address
109 ASHBROOK CV, FUQUAY VARINA, NC 27526-4363
(949) 705-7395
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P20046
NC
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
02/05/2026
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