Provider Demographics
NPI:1114316379
Name:DAVIES, J. CHRISTIAN (DC, MSACN)
Entity Type:Individual
Prefix:DR
First Name:J. CHRISTIAN
Middle Name:
Last Name:DAVIES
Suffix:
Gender:M
Credentials:DC, MSACN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 CHARLES B ROOT WYND STE 145
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5440
Mailing Address - Country:US
Mailing Address - Phone:919-750-0661
Mailing Address - Fax:984-222-3000
Practice Address - Street 1:3214 CHARLES B ROOT WYND STE 145
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5440
Practice Address - Country:US
Practice Address - Phone:919-750-0661
Practice Address - Fax:984-222-3000
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor