| NPI | 1073507877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RAYMOND DAVIS President 919-477-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1704) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 549) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2011-10-27 |