Individual
ANDREW E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2453 GUM BRANCH RD STE 600, JACKSONVILLE, NC 28540-4008
(910) 353-9800
(910) 455-2083
Mailing address
2453 GUM BRANCH RD STE 600, JACKSONVILLE, NC 28540-4008
(910) 353-9800
(910) 455-2083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5591
NC
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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