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1467203737
JACOB CHARLES DAVIS
ROANOKE, VA
NPI
1467203737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
Dr. JACOB CHARLES DAVIS DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
Dr. JACOB CHARLES DAVIS DO
1110 OAKLAKE TER
WATKINSVILLE, GA 30677-5974
Phone number: 706-247-0979
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