Provider Demographics
NPI:1740937416
Name:DAVIS, MARGARET BOLES (PT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BOLES
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SLATER RD STE 410
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8446
Mailing Address - Country:US
Mailing Address - Phone:919-544-8413
Mailing Address - Fax:
Practice Address - Street 1:1009 SLATER RD STE 410
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8446
Practice Address - Country:US
Practice Address - Phone:919-544-8413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP5966208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation