Individual
DR. JASON HOWARD DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CSCS
Contact information
Practice address
2609 DISCOVERY DR, SUITE 105, RALEIGH, NC 27616-1905
(919) 877-7448
(919) 875-8454
Mailing address
1400 FALLS RIVER AVE, RALEIGH, NC 27614-7702
(919) 866-1985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085KK
BCBCNC
NC
01
—
647382
ACN
NC
05
—
8908KK
—
NC
Enumeration date
07/03/2006
Last updated
07/08/2007
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