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Individual

MR. JOHN MARC DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T., ATC

Contact information

Practice address
JAMES A TAYLOR CAMPUS HEALTH SERVICE, 101A MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-6548
(919) 843-4771
Mailing address
32 OAKWOOD DR, CHAPEL HILL, NC 27517-5649
(919) 967-6865

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
901
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
901
PHYSICAL THERAPY LICENSE
NC
Enumeration date
08/16/2006
Last updated
07/08/2007
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